Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,792.00 / $10,649.00	Facility		$1,002.00	$3,792.00	$10,649.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,027.62 / $3,413.85 / $8,565.66	Facility		$2,027.62	$3,413.85	$8,565.66
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,764.68 / $1,764.68 / $1,816.55	Facility		$1,764.68	$1,764.68	$1,816.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,230.33 / $4,619.00	Facility		$900.00	$2,230.33	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.55 / $218.55 / $218.55	Facility	AS	$218.55	$218.55	$218.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $17,663.91	Facility		$55.00	$10,160.00	$17,663.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $436.10 / $889.06 / $946.70	Facility	AS	$436.10	$889.06	$946.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,882.70 / $2,316.67 / $4,261.39	Facility		$1,882.70	$2,316.67	$4,261.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,889.52 / $2,359.73 / $4,488.95	Facility		$1,889.52	$2,359.73	$4,488.95
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $748.78 / $748.78 / $748.78	Facility	80	$748.78	$748.78	$748.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $218.55 / $636.46 / $636.46	Facility	AS	$218.55	$636.46	$636.46
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