Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,326.98 / $10,836.00	Facility		$714.00	$3,326.98	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,495.00 / $4,296.99 / $6,960.00	Facility		$1,495.00	$4,296.99	$6,960.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $87.95 / $90.90	Facility		$80.00	$87.95	$90.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $115.81 / $115.81	Facility		$115.81	$115.81	$115.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $11.30 / $11.30 / $11.30	Facility	AS	$11.30	$11.30	$11.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $261.17 / $11,500.00 / $26,542.00	Facility		$261.17	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.07 / $46.47 / $49.40	Facility	AS	$23.07	$46.47	$49.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $137.38 / $223.09	Facility		$98.87	$137.38	$223.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $139.18 / $230.30	Facility		$98.87	$139.18	$230.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $11.30 / $11.30 / $32.43	Facility	AS	$11.30	$11.30	$32.43
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $949.00 / $2,290.00	Facility		$161.00	$949.00	$2,290.00