Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,774.00 / $13,401.00	Facility		$1,077.00	$3,774.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.62 / $2,784.50 / $13,849.57	Facility		$1,582.62	$2,784.50	$13,849.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,511.23 / $1,573.05	Facility		$80.00	$1,511.23	$1,573.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.20 / $1,815.20 / $1,815.20	Facility		$1,815.20	$1,815.20	$1,815.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.56 / $180.56 / $180.56	Facility	AS	$180.56	$180.56	$180.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,292.54	Facility		$55.00	$55.00	$25,292.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $345.59 / $738.44 / $781.58	Facility	AS	$345.59	$738.44	$781.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,519.28 / $1,924.50 / $3,507.08	Facility		$1,519.28	$1,924.50	$3,507.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,519.28 / $1,933.63 / $3,596.64	Facility		$1,519.28	$1,933.63	$3,596.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $605.27 / $605.27 / $605.27	Facility	80	$605.27	$605.27	$605.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $180.56 / $180.56 / $514.48	Facility	AS	$180.56	$180.56	$514.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $30,113.00	Facility		$4,600.00	$9,027.00	$30,113.00