Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.50 / $3,481.00 / $11,456.97	Facility		$759.50	$3,481.00	$11,456.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,075.37 / $9,092.56 / $18,364.59	Facility		$5,075.37	$9,092.56	$18,364.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $528.27 / $5,542.06 / $5,542.06	Facility		$528.27	$5,542.06	$5,542.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.90 / $984.90 / $984.90	Facility		$984.90	$984.90	$984.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $98.49 / $98.49 / $98.49	Facility	AS	$98.49	$98.49	$98.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,732.72 / $11,500.00 / $26,542.00	Facility		$2,732.72	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $266.74 / $293.41 / $293.41	Facility	AS	$266.74	$293.41	$293.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $582.27 / $823.94 / $1,266.76	Facility		$582.27	$823.94	$1,266.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.27 / $830.22 / $1,297.19	Facility		$582.27	$830.22	$1,297.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.49 / $98.49 / $253.91	Facility	AS	$98.49	$98.49	$253.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00