Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,774.00 / $13,682.00	Facility		$1,152.00	$3,774.00	$13,682.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.81 / $3,124.04 / $41,486.19	Facility		$1,680.81	$3,124.04	$41,486.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $258.38 / $258.38 / $1,468.84	Facility		$258.38	$258.38	$1,468.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,891.01 / $1,891.01 / $1,891.01	Facility		$1,891.01	$1,891.01	$1,891.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $187.01	Facility	AS	$187.01	$187.01	$187.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,119.08	Facility		$55.00	$55.00	$17,119.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $375.10 / $765.24 / $826.78	Facility	AS	$375.10	$765.24	$826.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,626.38 / $2,108.96 / $3,641.41	Facility		$1,626.38	$2,108.96	$3,641.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,622.17 / $2,110.42 / $3,685.52	Facility		$1,622.17	$2,110.42	$3,685.52
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $635.08 / $635.08 / $635.08	Facility	80	$635.08	$635.08	$635.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $539.82	Facility	AS	$187.01	$187.01	$539.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,738.00 / $9,458.00 / $27,388.00	Facility		$4,738.00	$9,458.00	$27,388.00