Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.69 / $3,501.00 / $9,458.00	Facility		$827.69	$3,501.00	$9,458.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,243.05 / $8,384.57	Facility		$2,436.33	$4,243.05	$8,384.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $606.63 / $2,527.63 / $2,527.63	Facility		$606.63	$2,527.63	$2,527.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $755.12	Facility		$755.12	$755.12	$755.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.01 / $75.01 / $75.01	Facility	AS	$75.01	$75.01	$75.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,116.85 / $11,500.00 / $26,542.00	Facility		$3,116.85	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $151.72 / $849.00 / $849.00	Facility	AS	$151.72	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.20 / $821.89 / $1,361.25	Facility		$640.20	$821.89	$1,361.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $497.29 / $1,659.00 / $7,842.00	Facility		$497.29	$1,659.00	$7,842.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $640.20 / $821.89 / $1,361.25	Facility		$640.20	$821.89	$1,361.25
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $75.01 / $75.01 / $214.81	Facility	AS	$75.01	$75.01	$214.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00