Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $3,762.00 / $13,401.00	Facility		$1,051.00	$3,762.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,481.03 / $2,546.05 / $9,576.00	Facility		$1,481.03	$2,546.05	$9,576.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $370.95 / $370.95 / $1,457.35	Facility		$370.95	$370.95	$1,457.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,753.40 / $1,753.40 / $1,753.40	Facility		$1,753.40	$1,753.40	$1,753.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $174.63 / $174.63 / $174.63	Facility	AS	$174.63	$174.63	$174.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $19,253.63	Facility		$55.00	$2,000.00	$19,253.63
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $336.82 / $713.31 / $760.25	Facility	AS	$336.82	$713.31	$760.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,442.43 / $1,784.43 / $2,853.46	Facility		$1,442.43	$1,784.43	$2,853.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,442.43 / $1,793.61 / $2,916.89	Facility		$1,442.43	$1,793.61	$2,916.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $583.94 / $583.94 / $583.94	Facility	80	$583.94	$583.94	$583.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $174.63 / $174.63 / $496.35	Facility	AS	$174.63	$174.63	$496.35
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