Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $4,007.00 / $11,348.00	Facility		$872.00	$4,007.00	$11,348.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $4,382.00 / $6,662.00	Facility		$1,845.00	$4,382.00	$6,662.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $200.00 / $200.00	Facility		$71.45	$200.00	$200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $96.68 / $96.68	Facility		$96.68	$96.68	$96.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $9.47 / $9.47 / $9.47	Facility	AS	$9.47	$9.47	$9.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $3,779.00 / $3,779.00	Facility		$147.13	$3,779.00	$3,779.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $14.33 / $38.45 / $40.89	Facility	AS	$14.33	$38.45	$40.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $102.38 / $163.30	Facility		$77.42	$102.38	$163.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $101.93 / $163.30	Facility		$76.64	$101.93	$163.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $9.47 / $9.47 / $27.41	Facility	AS	$9.47	$9.47	$27.41
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00