Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,224.00 / $11,453.00	Facility		$797.00	$3,224.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,530.43 / $8,853.29 / $17,660.22	Facility		$4,530.43	$8,853.29	$17,660.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $688.67 / $5,853.68 / $5,853.68	Facility		$688.67	$5,853.68	$5,853.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.80 / $857.80 / $857.80	Facility		$857.80	$857.80	$857.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.30 / $85.30 / $85.30	Facility	AS	$85.30	$85.30	$85.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,829.48 / $19,913.50 / $26,542.00	Facility		$2,829.48	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.98 / $1,887.52 / $1,887.52	Facility	AS	$172.98	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $705.99 / $875.18 / $1,413.49	Facility		$705.99	$875.18	$1,413.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.72 / $875.18 / $1,423.88	Facility		$708.72	$875.18	$1,423.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $85.30 / $85.30 / $241.90	Facility	AS	$85.30	$85.30	$241.90
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