Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,729.00	Facility		$895.00	$3,682.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.94 / $4,757.29 / $9,452.39	Facility		$2,642.94	$4,757.29	$9,452.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $543.78 / $543.78 / $560.62	Facility		$543.78	$543.78	$560.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.38 / $2,418.96 / $3,559.00	Facility		$1,823.38	$2,418.96	$3,559.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $65.13 / $65.13	Facility	AS	$65.13	$65.13	$65.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,558.29 / $11,500.00 / $26,542.00	Facility		$9,558.29	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.61 / $905.99 / $905.99	Facility	AS	$128.61	$905.99	$905.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.34 / $690.12 / $1,178.58	Facility		$552.34	$690.12	$1,178.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.79 / $704.93 / $1,304.45	Facility		$553.79	$704.93	$1,304.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $65.13 / $188.49 / $188.49	Facility	AS	$65.13	$188.49	$188.49
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