Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,869.00 / $10,874.00	Facility		$1,002.00	$3,869.00	$10,874.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,841.58 / $3,189.55 / $9,793.90	Facility		$1,841.58	$3,189.55	$9,793.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,616.48 / $1,706.71 / $1,706.71	Facility		$1,616.48	$1,706.71	$1,706.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,052.10 / $4,619.00	Facility		$900.00	$2,052.10	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $16,242.56	Facility		$55.00	$10,160.00	$16,242.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $402.33 / $817.91 / $868.18	Facility	AS	$402.33	$817.91	$868.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,732.78 / $2,134.67 / $3,910.99	Facility		$1,732.78	$2,134.67	$3,910.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,735.18 / $2,173.30 / $4,119.83	Facility		$1,735.18	$2,173.30	$4,119.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $688.01 / $688.01 / $688.01	Facility	80	$688.01	$688.01	$688.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $584.80 / $584.80	Facility	AS	$200.73	$584.80	$584.80
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,860.00 / $8,792.00	Facility		$385.00	$1,860.00	$8,792.00