Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,847.00 / $13,401.00	Facility		$1,093.00	$3,847.00	$13,401.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,339.00 / $4,339.00 / $4,534.72	Facility	50	$4,339.00	$4,339.00	$4,534.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,297.58 / $2,233.25 / $9,300.50	Facility		$1,297.58	$2,233.25	$9,300.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,248.27 / $1,294.83	Facility		$80.00	$1,248.27	$1,294.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.07 / $1,548.07 / $1,548.07	Facility		$1,548.07	$1,548.07	$1,548.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,923.18	Facility		$55.00	$55.00	$13,923.18
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $299.39 / $628.54 / $668.99	Facility	AS	$299.39	$628.54	$668.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,114.58 / $1,410.18 / $2,279.60	Facility		$1,114.58	$1,410.18	$2,279.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,125.58 / $1,410.18 / $2,361.94	Facility		$1,125.58	$1,410.18	$2,361.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $519.44 / $519.44 / $519.44	Facility	80	$519.44	$519.44	$519.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $441.53	Facility	AS	$153.38	$153.38	$441.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00