Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,816.00 / $7,542.00	Facility		$652.00	$2,816.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $8,972.92 / $17,886.03	Facility		$4,307.00	$8,972.92	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $388.94 / $391.57	Facility		$80.00	$388.94	$391.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.68 / $481.68 / $481.68	Facility		$481.68	$481.68	$481.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.17 / $48.17 / $48.17	Facility	AS	$48.17	$48.17	$48.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,565.24 / $16,394.00 / $25,176.10	Facility		$1,565.24	$16,394.00	$25,176.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $96.92 / $2,386.34 / $2,386.34	Facility	AS	$96.92	$2,386.34	$2,386.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.00 / $550.54 / $861.81	Facility		$409.00	$550.54	$861.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.00 / $550.60 / $894.35	Facility		$409.00	$550.60	$894.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $48.17 / $48.17 / $136.94	Facility	AS	$48.17	$48.17	$136.94
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