Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,570.00 / $12,281.00	Facility		$1,002.00	$3,570.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,173.88 / $1,939.04 / $6,339.55	Facility		$1,173.88	$1,939.04	$6,339.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,075.57 / $1,075.57 / $1,107.50	Facility		$1,075.57	$1,075.57	$1,107.50
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 $131.97 / $131.97 / $131.97	Facility	AS	$131.97	$131.97	$131.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $10,687.04	Facility		$55.00	$2,000.00	$10,687.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $261.83 / $539.07 / $574.37	Facility	AS	$261.83	$539.07	$574.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,113.74 / $1,351.74 / $2,420.09	Facility		$1,113.74	$1,351.74	$2,420.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,121.91 / $1,351.74 / $2,680.08	Facility		$1,121.91	$1,351.74	$2,680.08
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $450.84 / $450.84 / $450.84	Facility	80	$450.84	$450.84	$450.84
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $131.97 / $383.21 / $383.21	Facility	AS	$131.97	$383.21	$383.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,200.00 / $10,600.00	Facility		$1,634.00	$4,200.00	$10,600.00