Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $3,682.00 / $12,281.00	Facility		$272.70	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $306.16 / $1,559.90	Facility		$179.74	$306.16	$1,559.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $154.41 / $161.91	Facility		$80.00	$154.41	$161.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $199.25 / $199.25	Facility		$199.25	$199.25	$199.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	AS	$19.50	$19.50	$19.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,806.16 / $5,000.00	Facility		$55.00	$2,806.16	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $38.34 / $79.33 / $82.94	Facility	AS	$38.34	$79.33	$82.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.59 / $230.76 / $395.01	Facility		$166.59	$230.76	$395.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $230.76 / $405.10	Facility		$166.61	$230.76	$405.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $19.50 / $19.50 / $57.12	Facility	AS	$19.50	$19.50	$57.12
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,546.00 / $9,000.00	Facility		$500.00	$2,546.00	$9,000.00