Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,947.00 / $14,449.00	Facility		$969.00	$3,947.00	$14,449.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.41 / $1,326.27 / $5,060.10	Facility		$814.41	$1,326.27	$5,060.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $742.53 / $755.65	Facility		$80.00	$742.53	$755.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $928.11 / $928.11	Facility		$928.11	$928.11	$928.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.05 / $92.05 / $92.05	Facility	AS	$92.05	$92.05	$92.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,702.00	Facility		$55.00	$55.00	$4,702.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $186.11 / $377.70 / $413.52	Facility	AS	$186.11	$377.70	$413.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.11 / $1,080.66 / $1,686.41	Facility		$799.11	$1,080.66	$1,686.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.11 / $1,080.66 / $1,701.35	Facility		$799.11	$1,080.66	$1,701.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $92.05 / $92.05 / $264.39	Facility	AS	$92.05	$92.05	$264.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00