Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $2,128.00 / $7,542.00	Facility		$524.00	$2,128.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,444.67 / $9,466.31 / $18,711.83	Facility		$5,444.67	$9,466.31	$18,711.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $401.82 / $1,247.56 / $1,247.56	Facility		$401.82	$1,247.56	$1,247.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.96 / $767.96 / $767.96	Facility		$767.96	$767.96	$767.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	AS	$76.80	$76.80	$76.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,168.78	Facility		$55.00	$55.00	$3,168.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $205.58 / $222.36 / $222.36	Facility	AS	$205.58	$222.36	$222.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.45 / $841.88 / $1,392.48	Facility		$440.45	$841.88	$1,392.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.15 / $843.22 / $1,434.84	Facility		$441.15	$843.22	$1,434.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $76.80 / $76.80 / $295.63	Facility	AS	$76.80	$76.80	$295.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,358.00 / $16,982.00	Facility		$2,600.00	$7,358.00	$16,982.00