Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,925.00 / $11,348.00	Facility		$983.00	$3,925.00	$11,348.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.33 / $4,434.67 / $8,431.35	Facility		$2,592.33	$4,434.67	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $737.54 / $748.37	Facility		$80.00	$737.54	$748.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.36 / $927.36 / $927.36	Facility		$927.36	$927.36	$927.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.12 / $92.12 / $92.12	Facility	AS	$92.12	$92.12	$92.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,827.80 / $11,500.00 / $26,542.00	Facility		$3,827.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.37 / $849.00 / $849.00	Facility	AS	$186.37	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.13 / $988.03 / $1,587.91	Facility		$781.13	$988.03	$1,587.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.13 / $993.10 / $1,652.04	Facility		$781.13	$993.10	$1,652.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.12 / $92.12 / $263.41	Facility	AS	$92.12	$92.12	$263.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00