Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.33 / $4,359.97 / $8,431.35	Facility		$2,592.33	$4,359.97	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $755.54 / $767.50	Facility		$80.00	$755.54	$767.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.18 / $964.18 / $964.18	Facility		$964.18	$964.18	$964.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.70 / $95.70 / $95.70	Facility	AS	$95.70	$95.70	$95.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,182.80 / $11,500.00 / $26,542.00	Facility		$3,182.80	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.16 / $1,076.08 / $1,076.08	Facility	AS	$194.16	$1,076.08	$1,076.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $820.64 / $1,068.43 / $1,657.22	Facility		$820.64	$1,068.43	$1,657.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $820.92 / $1,068.43 / $1,723.10	Facility		$820.92	$1,068.43	$1,723.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $95.70 / $95.70 / $274.11	Facility	AS	$95.70	$95.70	$274.11
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