Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,747.00 / $8,328.00	Facility		$669.00	$2,747.00	$8,328.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,733.77 / $5,983.34	Facility		$1,530.22	$2,733.77	$5,983.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $542.54 / $551.67	Facility		$80.00	$542.54	$551.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $675.90	Facility		$675.90	$675.90	$675.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.33 / $67.33 / $67.33	Facility	AS	$67.33	$67.33	$67.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,791.40 / $11,500.00 / $16,394.00	Facility		$2,791.40	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.41 / $497.27 / $497.27	Facility	AS	$135.41	$497.27	$497.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $547.10 / $683.00 / $1,155.35	Facility		$547.10	$683.00	$1,155.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.49 / $686.78 / $1,204.50	Facility		$548.49	$686.78	$1,204.50
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.33 / $67.33 / $193.19	Facility	AS	$67.33	$67.33	$193.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00