Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $3,213.00 / $10,836.00	Facility		$737.82	$3,213.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,733.77 / $5,797.80	Facility		$1,530.22	$2,733.77	$5,797.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $458.11 / $463.06	Facility		$80.00	$458.11	$463.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.69 / $578.69 / $578.69	Facility		$578.69	$578.69	$578.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.75 / $57.75 / $57.75	Facility	AS	$57.75	$57.75	$57.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,856.06 / $11,500.00 / $26,542.00	Facility		$2,856.06	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $117.26 / $497.27 / $497.27	Facility	AS	$117.26	$497.27	$497.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.44 / $629.66 / $1,143.86	Facility		$486.44	$629.66	$1,143.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.74 / $630.83 / $1,173.08	Facility		$486.74	$630.83	$1,173.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.75 / $57.75 / $165.89	Facility	AS	$57.75	$57.75	$165.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00