Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,617.00 / $12,480.00	Facility		$935.00	$3,617.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,373.01 / $9,032.74 / $17,826.21	Facility		$4,373.01	$9,032.74	$17,826.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $682.40 / $694.10	Facility		$80.00	$682.40	$694.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.93 / $855.93 / $855.93	Facility		$855.93	$855.93	$855.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.08 / $85.08 / $85.08	Facility	AS	$85.08	$85.08	$85.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,827.20 / $19,913.50 / $26,542.00	Facility		$2,827.20	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $171.79 / $1,887.52 / $1,887.52	Facility	AS	$171.79	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.89 / $949.50 / $1,502.87	Facility		$730.89	$949.50	$1,502.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.65 / $949.50 / $1,530.00	Facility		$731.65	$949.50	$1,530.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.08 / $85.08 / $243.97	Facility	AS	$85.08	$85.08	$243.97
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