Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.00 / $2,124.00 / $6,762.00	Facility		$461.00	$2,124.00	$6,762.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.20 / $329.10 / $18,738.00	Facility		$169.20	$329.10	$18,738.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $157.32 / $157.32	Facility		$143.91	$157.32	$157.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.31 / $189.31 / $189.31	Facility		$189.31	$189.31	$189.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $18.57 / $18.57 / $18.57	Facility	AS	$18.57	$18.57	$18.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,300.00 / $2,000.00	Facility		$55.00	$1,300.00	$2,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $36.33 / $75.98 / $79.38	Facility	AS	$36.33	$75.98	$79.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.74 / $219.69 / $372.13	Facility		$160.74	$219.69	$372.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.74 / $220.56 / $381.51	Facility		$160.74	$220.56	$381.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $63.21 / $63.21 / $63.21	Facility	80	$63.21	$63.21	$63.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $18.57 / $18.57 / $53.73	Facility	AS	$18.57	$18.57	$53.73
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