Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,213.00 / $11,453.00	Facility		$767.00	$3,213.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.89 / $1,145.36 / $5,456.51	Facility		$680.89	$1,145.36	$5,456.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $633.29 / $643.05	Facility		$80.00	$633.29	$643.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.75 / $786.75 / $786.75	Facility		$786.75	$786.75	$786.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.14 / $78.14 / $78.14	Facility	AS	$78.14	$78.14	$78.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,582.15	Facility		$55.00	$55.00	$5,582.15
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $157.94 / $320.17 / $351.86	Facility	AS	$157.94	$320.17	$351.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $667.63 / $852.59 / $1,505.32	Facility		$667.63	$852.59	$1,505.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.30 / $860.87 / $1,505.32	Facility		$667.30	$860.87	$1,505.32
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $78.14 / $78.14 / $223.66	Facility	AS	$78.14	$78.14	$223.66
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