Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,925.00 / $10,649.00	Facility		$1,093.00	$3,925.00	$10,649.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,331.87 / $2,248.98 / $9,191.46	Facility		$1,331.87	$2,248.98	$9,191.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $746.95 / $746.95 / $1,200.34	Facility		$746.95	$746.95	$1,200.34
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 $148.22 / $148.22 / $148.22	Facility	AS	$148.22	$148.22	$148.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $11,998.24	Facility		$55.00	$10,160.00	$11,998.24
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $295.57 / $604.77 / $642.59	Facility	AS	$295.57	$604.77	$642.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,281.33 / $1,620.81 / $2,761.30	Facility		$1,281.33	$1,620.81	$2,761.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,281.33 / $1,638.40 / $3,031.23	Facility		$1,281.33	$1,638.40	$3,031.23
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $508.14 / $508.14 / $508.14	Facility	80	$508.14	$508.14	$508.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $148.22 / $431.92 / $431.92	Facility	AS	$148.22	$431.92	$431.92
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,792.00	Facility		$385.00	$1,970.00	$8,792.00