Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.33 / $4,028.00 / $13,401.00	Facility		$1,148.33	$4,028.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,991.69 / $7,164.35 / $14,454.58	Facility		$3,991.69	$7,164.35	$14,454.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,006.21 / $1,153.18 / $1,153.18	Facility		$1,006.21	$1,153.18	$1,153.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,156.62 / $4,026.16 / $4,939.00	Facility		$3,156.62	$4,026.16	$4,939.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,547.20 / $26,542.00	Facility		$11,500.00	$16,547.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $270.39 / $1,568.44 / $1,568.44	Facility	AS	$270.39	$1,568.44	$1,568.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,153.18 / $1,523.93 / $2,597.32	Facility		$1,153.18	$1,523.93	$2,597.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,154.99 / $1,566.59 / $2,663.65	Facility		$1,154.99	$1,566.59	$2,663.65
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $450.71 / $450.71 / $450.71	Facility	80	$450.71	$450.71	$450.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $383.10 / $383.10	Facility	AS	$132.97	$383.10	$383.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,648.00 / $13,237.00	Facility		$2,093.00	$5,648.00	$13,237.00