Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,669.50 / $10,520.00	Facility		$1,002.00	$3,669.50	$10,520.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.12 / $9,331.84 / $18,389.06	Facility		$5,264.12	$9,331.84	$18,389.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $11,749.75 / $11,749.75	Facility		$907.46	$11,749.75	$11,749.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.83 / $1,149.83 / $1,149.83	Facility		$1,149.83	$1,149.83	$1,149.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.08 / $114.08 / $114.08	Facility	AS	$114.08	$114.08	$114.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,400.00 / $19,913.50	Facility		$55.00	$1,400.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $230.71 / $1,887.52 / $1,887.52	Facility	AS	$230.71	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.03 / $1,223.31 / $2,153.19	Facility		$945.03	$1,223.31	$2,153.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $956.05 / $1,236.72 / $2,153.19	Facility		$956.05	$1,236.72	$2,153.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $114.08 / $114.08 / $330.57	Facility	AS	$114.08	$114.08	$330.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $8,215.00 / $16,584.00	Facility		$2,614.00	$8,215.00	$16,584.00