Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,080.37 / $3,506.32 / $10,797.01	Facility		$2,080.37	$3,506.32	$10,797.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,950.63 / $2,050.71	Facility		$80.00	$1,950.63	$2,050.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.41 / $3,603.00 / $6,702.00	Facility		$2,375.41	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $235.29 / $235.29 / $235.29	Facility	AS	$235.29	$235.29	$235.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $25,724.60	Facility		$55.00	$5,000.00	$25,724.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $442.41 / $961.12 / $1,001.40	Facility	AS	$442.41	$961.12	$1,001.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,957.44 / $2,494.21 / $4,037.69	Facility		$1,957.44	$2,494.21	$4,037.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,983.04 / $2,514.82 / $4,094.24	Facility		$1,983.04	$2,514.82	$4,094.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $235.29 / $235.29 / $672.39	Facility	AS	$235.29	$235.29	$672.39
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00