Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.17 / $3,730.00 / $12,941.00	Facility		$1,037.17	$3,730.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,064.48 / $1,808.47 / $6,847.00	Facility		$1,064.48	$1,808.47	$6,847.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $580.99 / $580.99 / $996.99	Facility		$580.99	$580.99	$996.99
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 $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,838.64	Facility		$55.00	$55.00	$9,838.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $240.79 / $497.90 / $526.04	Facility	AS	$240.79	$497.90	$526.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.17 / $1,288.61 / $2,233.11	Facility		$1,037.17	$1,288.61	$2,233.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,037.17 / $1,298.66 / $2,483.78	Facility		$1,037.17	$1,298.66	$2,483.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $418.20 / $418.20 / $418.20	Facility	80	$418.20	$418.20	$418.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $355.47 / $355.47	Facility	AS	$121.95	$355.47	$355.47
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00