Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,801.00 / $11,348.00	Facility		$983.00	$3,801.00	$11,348.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,157.91 / $9,212.20 / $17,945.84	Facility		$5,157.91	$9,212.20	$17,945.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $892.65 / $7,544.63 / $7,544.63	Facility		$892.65	$7,544.63	$7,544.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $1,126.75 / $1,126.75	Facility		$1,126.75	$1,126.75	$1,126.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.77 / $111.77 / $111.77	Facility	AS	$111.77	$111.77	$111.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,400.00 / $19,913.50	Facility		$55.00	$1,400.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $226.14 / $1,887.52 / $1,887.52	Facility	AS	$226.14	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $923.43 / $1,199.00 / $2,113.67	Facility		$923.43	$1,199.00	$2,113.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $935.89 / $1,214.02 / $2,113.67	Facility		$935.89	$1,214.02	$2,113.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.77 / $111.77 / $323.36	Facility	AS	$111.77	$111.77	$323.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,333.00 / $16,000.00	Facility		$2,600.00	$7,333.00	$16,000.00