Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $8,328.00	Facility		$803.00	$2,783.00	$8,328.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,990.00 / $8,318.61 / $16,416.84	Facility		$3,990.00	$8,318.61	$16,416.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $870.73 / $891.67	Facility		$80.00	$870.73	$891.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.30 / $1,133.30 / $1,133.30	Facility		$1,133.30	$1,133.30	$1,133.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.26 / $112.26 / $112.26	Facility	AS	$112.26	$112.26	$112.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,630.85 / $16,394.00 / $17,524.30	Facility		$4,630.85	$16,394.00	$17,524.30
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.88 / $1,661.06 / $1,661.06	Facility	AS	$223.88	$1,661.06	$1,661.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $922.70 / $1,180.70 / $1,940.14	Facility		$922.70	$1,180.70	$1,940.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $931.19 / $1,192.69 / $1,989.64	Facility		$931.19	$1,192.69	$1,989.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $112.26 / $112.26 / $325.22	Facility	AS	$112.26	$112.26	$325.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $6,662.00 / $13,134.00	Facility		$2,211.00	$6,662.00	$13,134.00