Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,718.00 / $12,826.00	Facility		$923.00	$3,718.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,259.16 / $18,089.08 / $35,940.14	Facility		$8,259.16	$18,089.08	$35,940.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $761.83 / $776.05	Facility		$80.00	$761.83	$776.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.12 / $957.12 / $957.12	Facility		$957.12	$957.12	$957.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.07 / $95.07 / $95.07	Facility	AS	$95.07	$95.07	$95.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $33,500.00 / $48,073.20	Facility		$11,500.00	$33,500.00	$48,073.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.92 / $4,556.66 / $4,556.66	Facility	AS	$191.92	$4,556.66	$4,556.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $821.78 / $1,060.16 / $1,660.57	Facility		$821.78	$1,060.16	$1,660.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $821.78 / $1,060.16 / $1,703.82	Facility		$821.78	$1,060.16	$1,703.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $95.07 / $95.07 / $272.80	Facility	AS	$95.07	$95.07	$272.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $26,985.00	Facility		$2,605.00	$7,184.00	$26,985.00