Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,829.98	Facility		$923.00	$3,682.00	$12,829.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,449.50 / $17,970.07 / $35,464.12	Facility		$8,449.50	$17,970.07	$35,464.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $774.07 / $785.41	Facility		$80.00	$774.07	$785.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.60 / $990.60 / $990.60	Facility		$990.60	$990.60	$990.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $98.20 / $98.20 / $98.20	Facility	AS	$98.20	$98.20	$98.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,269.12 / $26,542.00 / $48,972.40	Facility		$3,269.12	$26,542.00	$48,972.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $199.70 / $4,641.89 / $4,641.89	Facility	AS	$199.70	$4,641.89	$4,641.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $839.98 / $1,084.81 / $1,656.00	Facility		$839.98	$1,084.81	$1,656.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $839.98 / $1,091.58 / $1,763.88	Facility		$839.98	$1,091.58	$1,763.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.20 / $98.20 / $280.23	Facility	AS	$98.20	$98.20	$280.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00