Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $3,580.00 / $12,729.00	Facility		$1,020.00	$3,580.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,045.78 / $9,152.37 / $18,723.50	Facility		$5,045.78	$9,152.37	$18,723.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,148.43 / $1,171.19	Facility		$80.00	$1,148.43	$1,171.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,454.27 / $1,454.27 / $1,454.27	Facility		$1,454.27	$1,454.27	$1,454.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.51 / $144.51 / $144.51	Facility	AS	$144.51	$144.51	$144.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,206.24 / $25,530.00 / $26,542.00	Facility		$7,206.24	$25,530.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $291.42 / $2,419.88 / $2,419.88	Facility	AS	$291.42	$2,419.88	$2,419.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,249.64 / $1,594.13 / $2,430.00	Facility		$1,249.64	$1,594.13	$2,430.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,250.78 / $1,599.08 / $2,579.50	Facility		$1,250.78	$1,599.08	$2,579.50
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $486.94 / $486.94 / $486.94	Facility	80	$486.94	$486.94	$486.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $144.51 / $144.51 / $413.90	Facility	AS	$144.51	$144.51	$413.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00