Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,925.00 / $11,348.00	Facility		$983.00	$3,925.00	$11,348.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,071.56 / $9,152.37 / $18,723.50	Facility		$5,071.56	$9,152.37	$18,723.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $710.67 / $722.39	Facility		$80.00	$710.67	$722.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.67 / $888.67 / $888.67	Facility		$888.67	$888.67	$888.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,909.65 / $33,500.00	Facility		$11,500.00	$26,909.65	$33,500.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $178.55 / $2,550.66 / $2,550.66	Facility	AS	$178.55	$2,550.66	$2,550.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $763.61 / $999.86 / $1,538.43	Facility		$763.61	$999.86	$1,538.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $764.32 / $1,001.78 / $1,589.30	Facility		$764.32	$1,001.78	$1,589.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $253.58	Facility	AS	$88.21	$88.21	$253.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,122.00 / $16,000.00	Facility		$2,605.00	$7,122.00	$16,000.00