Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,570.00 / $10,639.00	Facility		$797.00	$3,570.00	$10,639.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,298.90 / $14,839.49	Facility		$4,108.64	$7,298.90	$14,839.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $589.74 / $589.74 / $606.83	Facility		$589.74	$589.74	$606.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.96 / $2,500.00 / $4,619.00	Facility		$727.96	$2,500.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $71.77 / $71.77	Facility	AS	$71.77	$71.77	$71.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $13,486.75	Facility		$55.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $142.47 / $1,279.44 / $1,279.44	Facility	AS	$142.47	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.38 / $762.98 / $1,340.73	Facility		$610.38	$762.98	$1,340.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.38 / $767.64 / $1,431.16	Facility		$610.38	$767.64	$1,431.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $206.18 / $206.18	Facility	AS	$71.77	$206.18	$206.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00