Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,302.69	Facility		$1,000.00	$3,715.35	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $4,168.69 / $4,168.69	Facility	50	$812.83	$4,168.69	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,128.61 / $13,489.63	Facility		$1,862.09	$5,128.61	$13,489.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $213.80	Facility		$79.43	$199.53	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $32,359.37 / $32,359.37	Facility		$5,011.87	$32,359.37	$32,359.37
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	AS	$363.08	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $4,365.16	Facility		$204.17	$316.23	$4,365.16
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $812.83 / $4,168.69	Facility	50	$812.83	$812.83	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $263.03 / $446.68	Facility		$199.53	$263.03	$446.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	AS	$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,122.02 / $11,220.18	Facility		$158.49	$1,122.02	$11,220.18