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 $1,439.58 / $2,532.48 / $11,973.09	Facility		$1,439.58	$2,532.48	$11,973.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,320.54 / $1,347.37	Facility		$80.00	$1,320.54	$1,347.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,668.85 / $1,668.85 / $1,668.85	Facility		$1,668.85	$1,668.85	$1,668.85
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $165.90	Facility	AS	$165.90	$165.90	$165.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,412.95	Facility		$55.00	$55.00	$8,412.95
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $332.54 / $676.22 / $736.83	Facility	AS	$332.54	$676.22	$736.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.26 / $1,840.38 / $2,729.50	Facility		$1,421.26	$1,840.38	$2,729.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,421.48 / $1,842.39 / $2,951.05	Facility		$1,421.48	$1,842.39	$2,951.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $478.99	Facility	AS	$165.90	$165.90	$478.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,918.00 / $16,194.00	Facility		$2,614.00	$7,918.00	$16,194.00