Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $851.14	Facility		$147.91	$251.19	$851.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $134.90	Facility		$123.03	$123.03	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $891.25 / $2,511.89	Facility		$239.88	$891.25	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	AS	$23.99	$23.99	$23.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $87.10 / $87.10 / $87.10	Facility	AS	$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $524.81	Facility		$131.83	$186.21	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $331.13	Facility		$131.83	$186.21	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00