Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $11,453.00	Facility		$767.00	$3,219.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.85 / $8,733.65 / $16,031.63	Facility		$2,041.85	$8,733.65	$16,031.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $641.97 / $668.53	Facility		$80.00	$641.97	$668.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.85 / $814.85 / $814.85	Facility		$814.85	$814.85	$814.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.45 / $79.45 / $79.45	Facility	AS	$79.45	$79.45	$79.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,810.56	Facility		$55.00	$55.00	$12,810.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.85 / $324.41 / $339.32	Facility	AS	$158.85	$324.41	$339.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.78 / $803.06 / $1,442.38	Facility		$640.78	$803.06	$1,442.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $640.78 / $812.53 / $1,606.73	Facility		$640.78	$812.53	$1,606.73
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $79.45 / $79.45 / $232.50	Facility	AS	$79.45	$79.45	$232.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,100.00 / $8,326.00	Facility		$1,391.00	$4,100.00	$8,326.00