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 $1,794.03 / $3,021.52 / $8,343.17	Facility		$1,794.03	$3,021.52	$8,343.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,682.52 / $1,751.05	Facility		$80.00	$1,682.52	$1,751.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,043.18 / $2,043.18 / $2,043.18	Facility		$2,043.18	$2,043.18	$2,043.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $202.55	Facility	AS	$202.55	$202.55	$202.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,314.49	Facility		$55.00	$55.00	$22,314.49
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $391.27 / $825.64 / $876.51	Facility	AS	$391.27	$825.64	$876.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,710.48 / $2,130.66 / $3,365.07	Facility		$1,710.48	$2,130.66	$3,365.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,710.48 / $2,152.53 / $3,472.65	Facility		$1,710.48	$2,152.53	$3,472.65
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $584.37	Facility	AS	$202.55	$202.55	$584.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00