Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.00 / $3,682.00 / $12,826.00	Facility		$1,004.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.47 / $2,156.71 / $6,947.00	Facility		$1,262.47	$2,156.71	$6,947.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,108.25 / $1,135.85	Facility		$80.00	$1,108.25	$1,135.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,422.64 / $1,422.64 / $1,422.64	Facility		$1,422.64	$1,422.64	$1,422.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $140.69 / $140.69 / $140.69	Facility	AS	$140.69	$140.69	$140.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,151.60	Facility		$55.00	$55.00	$7,151.60
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $282.22 / $575.25 / $621.90	Facility	AS	$282.22	$575.25	$621.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.67 / $1,597.74 / $2,517.08	Facility		$1,219.67	$1,597.74	$2,517.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,219.67 / $1,609.10 / $2,568.36	Facility		$1,219.67	$1,609.10	$2,568.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $140.69 / $140.69 / $405.82	Facility	AS	$140.69	$140.69	$405.82
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