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 $1,186.34 / $2,026.68 / $8,205.58	Facility		$1,186.34	$2,026.68	$8,205.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,063.58 / $1,144.04 / $1,144.04	Facility		$1,063.58	$1,144.04	$1,144.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.11 / $1,346.11 / $1,346.11	Facility		$1,346.11	$1,346.11	$1,346.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $133.62 / $133.62	Facility	AS	$133.62	$133.62	$133.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,804.20	Facility		$55.00	$55.00	$6,804.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $268.91 / $546.94 / $594.95	Facility	AS	$268.91	$546.94	$594.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,156.17 / $1,469.90 / $2,249.73	Facility		$1,156.17	$1,469.90	$2,249.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,156.17 / $1,474.11 / $2,356.87	Facility		$1,156.17	$1,474.11	$2,356.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $451.99 / $451.99 / $451.99	Facility	80	$451.99	$451.99	$451.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $133.62 / $133.62 / $384.19	Facility	AS	$133.62	$133.62	$384.19
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