Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $6,025.60	Facility		$912.01	$1,513.56	$6,025.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $831.76	Facility		$794.33	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,511.89	Facility		$891.25	$1,479.11	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	22	$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	AS	$147.91	$147.91	$147.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,762.47	Facility		$54.95	$56.23	$7,762.47
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	AS	$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,187.76	Facility		$812.83	$1,071.52	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,862.09	Facility		$812.83	$1,047.13	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00