Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $3,570.00 / $10,836.00	Facility		$797.00	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.23 / $4,407.29 / $8,431.35	Facility		$2,587.23	$4,407.29	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $542.46 / $549.85	Facility		$80.00	$542.46	$549.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.50 / $678.50 / $678.50	Facility		$678.50	$678.50	$678.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.22 / $67.22 / $67.22	Facility	AS	$67.22	$67.22	$67.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,359.22 / $11,500.00 / $26,542.00	Facility		$3,359.22	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $136.55 / $849.00 / $849.00	Facility	AS	$136.55	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $750.46 / $1,284.18	Facility		$575.08	$750.46	$1,284.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.42 / $750.46 / $1,316.97	Facility		$577.42	$750.46	$1,316.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $67.22 / $67.22 / $193.41	Facility	AS	$67.22	$67.22	$193.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00