Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.02 / $3,682.00 / $12,281.00	Facility		$869.02	$3,682.00	$12,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,572.50 / $2,572.50 / $2,572.50	Facility	50	$2,572.50	$2,572.50	$2,572.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.17 / $4,325.17 / $8,431.35	Facility		$2,487.17	$4,325.17	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $670.71 / $681.73	Facility		$80.00	$670.71	$681.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.22 / $836.22 / $836.22	Facility		$836.22	$836.22	$836.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,452.15 / $11,500.00 / $26,542.00	Facility		$3,452.15	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.89 / $849.00 / $849.00	Facility	AS	$167.89	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $710.06 / $907.35 / $1,424.90	Facility		$710.06	$907.35	$1,424.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.06 / $911.30 / $1,480.87	Facility		$710.06	$911.30	$1,480.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $280.08 / $280.08 / $280.08	Facility	80	$280.08	$280.08	$280.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $238.07	Facility	AS	$83.10	$83.10	$238.07
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