Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $4,007.00 / $11,210.00	Facility		$1,093.00	$4,007.00	$11,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.13 / $2,169.46 / $8,577.84	Facility		$1,280.13	$2,169.46	$8,577.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,172.53 / $1,172.53 / $1,218.90	Facility		$1,172.53	$1,172.53	$1,218.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $143.09 / $143.09	Facility	AS	$143.09	$143.09	$143.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,510.80	Facility		$55.00	$55.00	$11,510.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $282.47 / $583.41 / $613.05	Facility	AS	$282.47	$583.41	$613.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.59 / $1,484.99 / $2,851.26	Facility		$1,214.59	$1,484.99	$2,851.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,214.59 / $1,519.30 / $2,924.08	Facility		$1,214.59	$1,519.30	$2,924.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $491.05 / $491.05 / $491.05	Facility	80	$491.05	$491.05	$491.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $417.39 / $417.39	Facility	AS	$143.09	$417.39	$417.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $6,998.00 / $16,000.00	Facility		$2,600.00	$6,998.00	$16,000.00