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 $2,108.58 / $3,545.78 / $12,046.38	Facility		$2,108.58	$3,545.78	$12,046.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,886.98 / $1,955.93	Facility		$80.00	$1,886.98	$1,955.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,410.14 / $2,410.14 / $2,410.14	Facility		$2,410.14	$2,410.14	$2,410.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $238.31 / $238.31 / $238.31	Facility	AS	$238.31	$238.31	$238.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $33,398.96	Facility		$55.00	$55.00	$33,398.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $463.56 / $967.18 / $1,029.95	Facility	AS	$463.56	$967.18	$1,029.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,048.78 / $2,663.78 / $4,342.57	Facility		$2,048.78	$2,663.78	$4,342.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,048.78 / $2,685.25 / $4,421.78	Facility		$2,048.78	$2,685.25	$4,421.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $805.83 / $805.83 / $805.83	Facility	80	$805.83	$805.83	$805.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.31 / $238.31 / $684.95	Facility	AS	$238.31	$238.31	$684.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,453.00 / $20,955.00	Facility		$4,600.00	$9,453.00	$20,955.00