Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.15 / $3,774.00 / $13,682.00	Facility		$1,039.15	$3,774.00	$13,682.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.26 / $2,110.12 / $27,823.03	Facility		$1,155.26	$2,110.12	$27,823.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,010.01 / $1,032.02	Facility		$80.00	$1,010.01	$1,032.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,282.30 / $1,282.30 / $1,282.30	Facility		$1,282.30	$1,282.30	$1,282.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $127.24	Facility	AS	$127.24	$127.24	$127.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,071.09	Facility		$55.00	$55.00	$9,071.09
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $255.99 / $520.90 / $566.23	Facility	AS	$255.99	$520.90	$566.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,093.88 / $1,391.19 / $2,339.04	Facility		$1,093.88	$1,391.19	$2,339.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,093.88 / $1,403.88 / $2,463.05	Facility		$1,093.88	$1,403.88	$2,463.05
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $430.92 / $430.92 / $430.92	Facility	80	$430.92	$430.92	$430.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $366.28	Facility	AS	$127.24	$127.24	$366.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00