Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,792.00 / $13,401.00	Facility		$969.00	$3,792.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,004.68 / $1,677.44 / $4,603.07	Facility		$1,004.68	$1,677.44	$4,603.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $900.89 / $920.08	Facility		$80.00	$900.89	$920.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,138.09 / $1,138.09 / $1,138.09	Facility		$1,138.09	$1,138.09	$1,138.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $113.00 / $113.00 / $113.00	Facility	AS	$113.00	$113.00	$113.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,747.08 / $5,433.47 / $5,433.47	Facility		$1,747.08	$5,433.47	$5,433.47
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $174.71 / $462.93 / $503.71	Facility	AS	$174.71	$462.93	$503.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $834.54 / $1,138.26 / $2,021.12	Facility		$834.54	$1,138.26	$2,021.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.57 / $1,138.26 / $2,079.15	Facility		$829.57	$1,138.26	$2,079.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $113.00 / $113.00 / $325.22	Facility	AS	$113.00	$113.00	$325.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00