Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,040.00	Facility		$921.00	$3,682.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,032.74 / $17,826.21	Facility		$4,307.00	$9,032.74	$17,826.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $683.94 / $683.94	Facility		$80.00	$683.94	$683.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.88 / $832.88 / $832.88	Facility		$832.88	$832.88	$832.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.29 / $83.29 / $83.29	Facility	AS	$83.29	$83.29	$83.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,726.96 / $19,913.50 / $26,542.00	Facility		$2,726.96	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.82 / $1,887.52 / $1,887.52	Facility	AS	$168.82	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.16 / $900.86 / $1,421.45	Facility		$699.16	$900.86	$1,421.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.44 / $901.64 / $1,437.39	Facility		$707.44	$901.64	$1,437.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.29 / $83.29 / $243.10	Facility	AS	$83.29	$83.29	$243.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,600.00	Facility		$1,693.00	$5,210.00	$10,600.00