Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,480.00	Facility		$1,086.00	$3,682.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,681.00 / $4,534.89 / $14,135.17	Facility		$2,681.00	$4,534.89	$14,135.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,279.89 / $2,328.34	Facility		$80.00	$2,279.89	$2,328.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,074.84 / $3,074.84 / $3,074.84	Facility		$3,074.84	$3,074.84	$3,074.84
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $1,890.19	Facility	62	$1,890.19	$1,890.19	$1,890.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $27,703.08	Facility		$55.00	$2,000.00	$27,703.08
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,834.23 / $7,694.91 / $8,335.36	Facility	62	$3,834.23	$7,694.91	$8,335.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,619.65 / $3,507.77 / $5,361.49	Facility		$2,619.65	$3,507.77	$5,361.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,623.62 / $3,513.09 / $5,487.95	Facility		$2,623.62	$3,513.09	$5,487.95
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,890.19 / $1,890.19 / $4,016.51	Facility	62	$1,890.19	$1,890.19	$4,016.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,028.23 / $1,028.23 / $1,028.23	Facility	80	$1,028.23	$1,028.23	$1,028.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,079.00 / $5,918.00 / $12,900.00	Facility		$2,079.00	$5,918.00	$12,900.00