Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $2,783.00 / $7,542.00	Facility		$714.00	$2,783.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,716.57 / $5,295.60	Facility		$1,530.22	$2,716.57	$5,295.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $696.56 / $711.29	Facility		$80.00	$696.56	$711.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $871.56 / $871.56 / $871.56	Facility		$871.56	$871.56	$871.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.57 / $86.57 / $86.57	Facility	AS	$86.57	$86.57	$86.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,489.99 / $11,500.00 / $16,394.00	Facility		$6,489.99	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $173.13 / $497.27 / $497.27	Facility	AS	$173.13	$497.27	$497.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.16 / $822.84 / $1,341.29	Facility		$655.16	$822.84	$1,341.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $656.38 / $833.30 / $1,393.82	Facility		$656.38	$833.30	$1,393.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.57 / $86.57 / $245.28	Facility	AS	$86.57	$86.57	$245.28
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