Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,514.00 / $7,495.00	Facility		$669.00	$2,514.00	$7,495.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,086.32 / $3,680.36 / $7,337.28	Facility		$2,086.32	$3,680.36	$7,337.28
Christus Facility/Professional Facility Modifier Low / Median / High Price $620.53 / $620.53 / $633.46	Facility		$620.53	$620.53	$633.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,512.62 / $1,929.30 / $2,361.01	Facility		$1,512.62	$1,929.30	$2,361.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,929.30 / $11,500.00 / $16,394.00	Facility		$7,929.30	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.66 / $751.59 / $751.59	Facility	AS	$156.66	$751.59	$751.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.70 / $804.77 / $1,446.83	Facility		$656.70	$804.77	$1,446.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $823.74 / $1,546.10	Facility		$657.14	$823.74	$1,546.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $223.66 / $223.66	Facility	AS	$77.44	$223.66	$223.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00