Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.69 / $3,570.00 / $12,281.00	Facility		$943.69	$3,570.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.41 / $1,551.12 / $5,596.66	Facility		$937.41	$1,551.12	$5,596.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $844.94 / $844.94 / $876.84	Facility		$844.94	$844.94	$876.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,293.30	Facility		$55.00	$55.00	$7,293.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $204.96 / $421.75 / $444.48	Facility	AS	$204.96	$421.75	$444.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $875.23 / $1,071.10 / $1,931.04	Facility		$875.23	$1,071.10	$1,931.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $875.23 / $1,072.56 / $2,103.71	Facility		$875.23	$1,072.56	$2,103.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $299.89 / $299.89	Facility	AS	$102.94	$299.89	$299.89
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