Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.00 / $3,925.00 / $10,908.00	Facility		$1,076.00	$3,925.00	$10,908.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,033.42 / $3,033.42 / $3,033.42	Facility	22	$3,033.42	$3,033.42	$3,033.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.47 / $2,299.54 / $8,322.33	Facility		$1,359.47	$2,299.54	$8,322.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,259.72 / $1,259.72 / $1,304.70	Facility		$1,259.72	$1,259.72	$1,304.70
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 $154.72 / $154.72 / $154.72	Facility	AS	$154.72	$154.72	$154.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $12,485.84	Facility		$55.00	$10,160.00	$12,485.84
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $305.67 / $631.41 / $668.12	Facility	AS	$305.67	$631.41	$668.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.15 / $1,649.35 / $2,835.62	Facility		$1,320.15	$1,649.35	$2,835.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,322.13 / $1,663.94 / $3,138.36	Facility		$1,322.13	$1,663.94	$3,138.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $529.98 / $529.98 / $529.98	Facility	80	$529.98	$529.98	$529.98
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $154.72 / $450.48 / $450.48	Facility	AS	$154.72	$450.48	$450.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,870.00 / $13,237.00	Facility		$2,093.00	$5,870.00	$13,237.00