Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.66 / $3,766.00 / $12,826.00	Facility		$1,058.66	$3,766.00	$12,826.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,323.75 / $34,036.64 / $34,036.64	Facility	50	$13,323.75	$34,036.64	$34,036.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,115.60 / $18,089.08 / $42,516.26	Facility		$10,115.60	$18,089.08	$42,516.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,021.83 / $15,950.44 / $15,950.44	Facility		$1,021.83	$15,950.44	$15,950.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.96 / $1,300.96 / $1,300.96	Facility		$1,300.96	$1,300.96	$1,300.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $128.96	Facility	AS	$128.96	$128.96	$128.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,000.00 / $51,514.20	Facility		$55.00	$15,000.00	$51,514.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $259.27 / $4,882.81 / $4,882.81	Facility	AS	$259.27	$4,882.81	$4,882.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,106.08 / $1,438.74 / $2,306.79	Facility		$1,106.08	$1,438.74	$2,306.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $1,439.35 / $2,313.23	Facility		$1,111.00	$1,439.35	$2,313.23
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $439.14 / $439.14 / $439.14	Facility	80	$439.14	$439.14	$439.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.96 / $128.96 / $373.27	Facility	AS	$128.96	$128.96	$373.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,738.00 / $9,862.00 / $28,197.00	Facility		$4,738.00	$9,862.00	$28,197.00