Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,682.00 / $13,401.00	Facility		$1,050.00	$3,682.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.47 / $2,281.42 / $9,631.00	Facility		$1,335.47	$2,281.42	$9,631.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,193.13 / $1,403.84 / $1,403.84	Facility		$1,193.13	$1,403.84	$1,403.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,515.50 / $1,515.50 / $1,515.50	Facility		$1,515.50	$1,515.50	$1,515.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $150.40 / $150.40 / $150.40	Facility	AS	$150.40	$150.40	$150.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,719.52	Facility		$55.00	$55.00	$10,719.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $302.56 / $615.52 / $669.21	Facility	AS	$302.56	$615.52	$669.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.30 / $1,650.49 / $2,643.64	Facility		$1,295.30	$1,650.49	$2,643.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,295.30 / $1,659.03 / $2,687.90	Facility		$1,295.30	$1,659.03	$2,687.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $509.04 / $509.04 / $509.04	Facility	80	$509.04	$509.04	$509.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $150.40 / $150.40 / $432.68	Facility	AS	$150.40	$150.40	$432.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00