Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.60 / $2,594.00 / $7,542.00	Facility		$735.60	$2,594.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,733.77 / $5,983.34	Facility		$1,530.22	$2,733.77	$5,983.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $725.75 / $742.31	Facility		$80.00	$725.75	$742.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.85 / $910.85 / $910.85	Facility		$910.85	$910.85	$910.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $90.56	Facility	AS	$90.56	$90.56	$90.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,509.66 / $11,500.00 / $16,394.00	Facility		$4,509.66	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $180.12 / $497.27 / $497.27	Facility	AS	$180.12	$497.27	$497.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $737.85 / $921.23 / $1,480.77	Facility		$737.85	$921.23	$1,480.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.61 / $924.33 / $1,549.55	Facility		$741.61	$924.33	$1,549.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $256.31	Facility	AS	$90.56	$90.56	$256.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,239.00 / $7,600.00	Facility		$1,154.00	$3,239.00	$7,600.00