Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,511.00 / $10,649.00	Facility		$945.00	$3,511.00	$10,649.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.50 / $1,845.00 / $6,166.00	Facility		$1,100.50	$1,845.00	$6,166.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,001.13 / $1,001.13 / $1,024.07	Facility		$1,001.13	$1,001.13	$1,024.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.47 / $121.47 / $121.47	Facility	AS	$121.47	$121.47	$121.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $9,846.08	Facility		$55.00	$2,800.00	$9,846.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $243.07 / $494.71 / $533.10	Facility	AS	$243.07	$494.71	$533.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.27 / $1,306.42 / $2,435.73	Facility		$1,044.27	$1,306.42	$2,435.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.27 / $1,319.50 / $2,493.17	Facility		$1,044.27	$1,319.50	$2,493.17
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $416.40 / $416.40 / $416.40	Facility	80	$416.40	$416.40	$416.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $121.47 / $353.94 / $353.94	Facility	AS	$121.47	$353.94	$353.94
United Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,500.00 / $9,000.00	Facility		$471.00	$2,500.00	$9,000.00