Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.41 / $8,374.73 / $16,151.27	Facility		$3,242.41	$8,374.73	$16,151.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $953.96 / $975.10	Facility		$80.00	$953.96	$975.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.14 / $1,207.14 / $1,207.14	Facility		$1,207.14	$1,207.14	$1,207.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.75 / $119.75 / $119.75	Facility	AS	$119.75	$119.75	$119.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,847.78 / $5,749.75 / $5,749.75	Facility		$1,847.78	$5,749.75	$5,749.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.78 / $490.02 / $532.48	Facility	AS	$184.78	$490.02	$532.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $883.37 / $1,202.96 / $2,140.23	Facility		$883.37	$1,202.96	$2,140.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $878.19 / $1,203.40 / $2,189.42	Facility		$878.19	$1,203.40	$2,189.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $119.75 / $119.75 / $344.77	Facility	AS	$119.75	$119.75	$344.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00