Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $3,766.00 / $13,004.00	Facility		$1,051.00	$3,766.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,506.85 / $2,561.87 / $9,576.00	Facility		$1,506.85	$2,561.87	$9,576.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,452.60 / $1,510.95	Facility		$80.00	$1,452.60	$1,510.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.44 / $1,734.44 / $1,734.44	Facility		$1,734.44	$1,734.44	$1,734.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $172.62 / $172.62 / $172.62	Facility	AS	$172.62	$172.62	$172.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,993.25	Facility		$55.00	$55.00	$18,993.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $330.60 / $705.44 / $747.76	Facility	AS	$330.60	$705.44	$747.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.68 / $1,825.82 / $3,346.18	Facility		$1,445.68	$1,825.82	$3,346.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.68 / $1,839.96 / $3,431.64	Facility		$1,445.68	$1,839.96	$3,431.64
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $578.54 / $578.54 / $578.54	Facility	80	$578.54	$578.54	$578.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $172.62 / $172.62 / $491.76	Facility	AS	$172.62	$172.62	$491.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,604.00 / $9,929.00 / $30,113.00	Facility		$4,604.00	$9,929.00	$30,113.00