Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.56 / $2,098.79 / $9,303.78	Facility		$1,228.56	$2,098.79	$9,303.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,093.97 / $1,118.38	Facility		$80.00	$1,093.97	$1,118.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.85 / $1,390.85 / $1,390.85	Facility		$1,390.85	$1,390.85	$1,390.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	AS	$137.94	$137.94	$137.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,832.62	Facility		$55.00	$55.00	$9,832.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $277.45 / $564.65 / $613.33	Facility	AS	$277.45	$564.65	$613.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.72 / $1,481.43 / $2,350.21	Facility		$1,182.72	$1,481.43	$2,350.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,182.74 / $1,497.35 / $2,427.87	Facility		$1,182.74	$1,497.35	$2,427.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $467.41 / $467.41 / $467.41	Facility	80	$467.41	$467.41	$467.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $137.94 / $137.94 / $397.30	Facility	AS	$137.94	$137.94	$397.30
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