Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,774.00 / $13,401.00	Facility		$1,082.00	$3,774.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,488.17 / $2,522.26 / $9,576.00	Facility		$1,488.17	$2,522.26	$9,576.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,429.39 / $1,486.33	Facility		$80.00	$1,429.39	$1,486.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,724.24 / $1,724.24 / $1,724.24	Facility		$1,724.24	$1,724.24	$1,724.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.46 / $171.46 / $171.46	Facility	AS	$171.46	$171.46	$171.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $18,864.66	Facility		$55.00	$2,000.00	$18,864.66
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $329.12 / $699.84 / $742.52	Facility	AS	$329.12	$699.84	$742.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,447.59 / $1,826.45 / $2,884.43	Facility		$1,447.59	$1,826.45	$2,884.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,447.59 / $1,846.32 / $2,935.36	Facility		$1,447.59	$1,846.32	$2,935.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $575.72 / $575.72 / $575.72	Facility	80	$575.72	$575.72	$575.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.46 / $171.46 / $489.36	Facility	AS	$171.46	$171.46	$489.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00