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 $1,226.03 / $2,077.80 / $6,934.48	Facility		$1,226.03	$2,077.80	$6,934.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,081.71 / $1,147.91 / $1,147.91	Facility		$1,081.71	$1,147.91	$1,147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.57 / $1,399.57 / $1,399.57	Facility		$1,399.57	$1,399.57	$1,399.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.28 / $138.28 / $138.28	Facility	AS	$138.28	$138.28	$138.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $8,428.08	Facility		$55.00	$2,000.00	$8,428.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $277.00 / $565.11 / $609.75	Facility	AS	$277.00	$565.11	$609.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,197.97 / $1,620.24 / $2,537.71	Facility		$1,197.97	$1,620.24	$2,537.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,197.97 / $1,622.72 / $2,558.92	Facility		$1,197.97	$1,622.72	$2,558.92
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $470.88 / $470.88 / $470.88	Facility	80	$470.88	$470.88	$470.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $138.28 / $138.28 / $400.25	Facility	AS	$138.28	$138.28	$400.25
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