Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,925.00 / $13,004.00	Facility		$1,077.00	$3,925.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $3,095.04 / $14,400.00	Facility		$1,938.01	$3,095.04	$14,400.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,784.85 / $1,784.85 / $1,855.91	Facility		$1,784.85	$1,784.85	$1,855.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,530.00 / $12,377.00	Facility		$900.00	$2,530.00	$12,377.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $219.00 / $219.00 / $219.00	Facility	AS	$219.00	$219.00	$219.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,507.28	Facility		$55.00	$55.00	$26,507.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $432.24 / $895.72 / $942.98	Facility	AS	$432.24	$895.72	$942.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,854.14 / $2,341.86 / $4,308.54	Facility		$1,854.14	$2,341.86	$4,308.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,854.14 / $2,347.52 / $4,418.58	Facility		$1,854.14	$2,347.52	$4,418.58
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $219.00 / $636.57 / $636.57	Facility	AS	$219.00	$636.57	$636.57
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $9,586.00	Facility		$385.00	$1,970.00	$9,586.00