Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,893.00	Facility		$945.00	$3,570.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,040.34 / $1,759.75 / $7,282.48	Facility		$1,040.34	$1,759.75	$7,282.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $953.27 / $953.27 / $988.25	Facility		$953.27	$953.27	$988.25
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 $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,482.71	Facility		$55.00	$55.00	$9,482.71
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $233.08 / $479.42 / $506.37	Facility	AS	$233.08	$479.42	$506.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,001.83 / $1,251.86 / $2,159.96	Facility		$1,001.83	$1,251.86	$2,159.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.20 / $1,254.58 / $2,401.67	Facility		$1,006.20	$1,254.58	$2,401.67
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $402.40 / $402.40 / $402.40	Facility	80	$402.40	$402.40	$402.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $342.04 / $342.04	Facility	AS	$117.55	$342.04	$342.04
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00