Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $3,682.00 / $12,377.00	Facility		$856.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,373.01 / $9,032.74 / $17,826.21	Facility		$4,373.01	$9,032.74	$17,826.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $457.45 / $462.96	Facility		$80.00	$457.45	$462.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.83 / $575.83 / $575.83	Facility		$575.83	$575.83	$575.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $57.12	Facility	AS	$57.12	$57.12	$57.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.12 / $19,913.50 / $26,542.00	Facility		$1,899.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.36 / $1,887.52 / $1,887.52	Facility	AS	$116.36	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $470.17 / $622.29 / $966.92	Facility		$470.17	$622.29	$966.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.06 / $624.91 / $1,015.48	Facility		$475.06	$624.91	$1,015.48
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $163.69	Facility	AS	$57.12	$57.12	$163.69
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