Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,281.00	Facility		$872.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.44 / $1,594.62 / $8,124.79	Facility		$933.44	$1,594.62	$8,124.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $899.35 / $930.83	Facility		$80.00	$899.35	$930.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.51 / $1,079.51 / $1,079.51	Facility		$1,079.51	$1,079.51	$1,079.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $106.59 / $106.59 / $106.59	Facility	AS	$106.59	$106.59	$106.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,707.21	Facility		$55.00	$55.00	$9,707.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $207.79 / $439.31 / $469.15	Facility	AS	$207.79	$439.31	$469.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $872.15 / $1,101.25 / $2,057.41	Facility		$872.15	$1,101.25	$2,057.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.68 / $1,101.25 / $2,109.96	Facility		$873.68	$1,101.25	$2,109.96
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $106.59 / $106.59 / $304.58	Facility	AS	$106.59	$106.59	$304.58
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