Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $4,344.00 / $13,792.00	Facility		$983.00	$4,344.00	$13,792.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,024.84 / $8,972.92 / $17,945.84	Facility		$5,024.84	$8,972.92	$17,945.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $771.48 / $5,680.37 / $5,680.37	Facility		$771.48	$5,680.37	$5,680.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.02 / $969.02 / $969.02	Facility		$969.02	$969.02	$969.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.34 / $96.34 / $96.34	Facility	AS	$96.34	$96.34	$96.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,801.56 / $19,913.50 / $26,542.00	Facility		$4,801.56	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.47 / $1,887.52 / $1,887.52	Facility	AS	$194.47	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.53 / $1,129.95 / $1,802.99	Facility		$834.53	$1,129.95	$1,802.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $834.53 / $1,132.42 / $1,856.95	Facility		$834.53	$1,132.42	$1,856.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $325.44 / $325.44 / $325.44	Facility	80	$325.44	$325.44	$325.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $96.34 / $96.34 / $276.62	Facility	AS	$96.34	$96.34	$276.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00