Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,774.00 / $13,401.00	Facility		$1,082.00	$3,774.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,663.24 / $2,783.74 / $7,734.95	Facility		$1,663.24	$2,783.74	$7,734.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,553.94 / $1,613.69	Facility		$80.00	$1,553.94	$1,613.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,920.98 / $1,920.98 / $1,920.98	Facility		$1,920.98	$1,920.98	$1,920.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.33 / $190.33 / $190.33	Facility	AS	$190.33	$190.33	$190.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,548.80	Facility		$55.00	$55.00	$30,548.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $368.57 / $776.74 / $824.61	Facility	AS	$368.57	$776.74	$824.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,619.14 / $2,084.94 / $3,456.50	Facility		$1,619.14	$2,084.94	$3,456.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,619.14 / $2,086.73 / $3,458.40	Facility		$1,619.14	$2,086.73	$3,458.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.33 / $190.33 / $539.60	Facility	AS	$190.33	$190.33	$539.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,453.00 / $30,113.00	Facility		$4,600.00	$9,453.00	$30,113.00