Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,747.00 / $7,495.00	Facility		$689.00	$2,747.00	$7,495.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,998.48 / $7,298.90 / $14,597.80	Facility		$3,998.48	$7,298.90	$14,597.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $656.24 / $656.24 / $656.24	Facility		$656.24	$656.24	$656.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.82 / $4,105.82 / $4,105.82	Facility		$4,105.82	$4,105.82	$4,105.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,394.00	Facility		$11,500.00	$16,394.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.00 / $1,537.78 / $1,537.78	Facility	AS	$156.00	$1,537.78	$1,537.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.10 / $837.63 / $1,537.35	Facility		$670.10	$837.63	$1,537.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.10 / $851.45 / $1,673.94	Facility		$670.10	$851.45	$1,673.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $228.35 / $228.35 / $228.35	Facility	AS	$228.35	$228.35	$228.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,184.00 / $16,000.00	Facility		$2,608.00	$7,184.00	$16,000.00