Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,611.00 / $12,826.00	Facility		$1,004.00	$3,611.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.04 / $2,152.57 / $9,542.17	Facility		$1,260.04	$2,152.57	$9,542.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,127.47 / $1,152.78	Facility		$80.00	$1,127.47	$1,152.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,433.27 / $1,433.27 / $1,433.27	Facility		$1,433.27	$1,433.27	$1,433.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.16 / $142.16 / $142.16	Facility	AS	$142.16	$142.16	$142.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,126.62	Facility		$55.00	$55.00	$10,126.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $285.69 / $581.61 / $631.60	Facility	AS	$285.69	$581.61	$631.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.48 / $1,607.20 / $2,557.50	Facility		$1,230.48	$1,607.20	$2,557.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.48 / $1,609.21 / $2,619.03	Facility		$1,230.48	$1,609.21	$2,619.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $142.16 / $142.16 / $409.09	Facility	AS	$142.16	$142.16	$409.09
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