Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.48 / $3,570.00 / $12,941.00	Facility		$811.48	$3,570.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.61 / $921.43 / $4,694.82	Facility		$550.61	$921.43	$4,694.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $548.11 / $558.82	Facility		$80.00	$548.11	$558.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.29 / $625.29 / $625.29	Facility		$625.29	$625.29	$625.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	AS	$62.19	$62.19	$62.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,946.28	Facility		$55.00	$55.00	$6,946.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $124.17 / $254.47 / $276.32	Facility	AS	$124.17	$254.47	$276.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.54 / $702.43 / $1,131.00	Facility		$537.54	$702.43	$1,131.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.54 / $703.29 / $1,154.23	Facility		$537.54	$703.29	$1,154.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $178.66	Facility	AS	$62.19	$62.19	$178.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00