Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,774.00 / $13,401.00	Facility		$1,082.00	$3,774.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,204.30 / $9,451.48 / $18,989.00	Facility		$5,204.30	$9,451.48	$18,989.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,399.84 / $1,461.87	Facility		$80.00	$1,399.84	$1,461.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.77 / $3,603.00 / $6,702.00	Facility		$1,694.77	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $168.25 / $168.25 / $168.25	Facility	AS	$168.25	$168.25	$168.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $23,532.88	Facility		$5,897.00	$5,897.00	$23,532.88
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $320.62 / $1,625.25 / $1,625.25	Facility	AS	$320.62	$1,625.25	$1,625.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,414.44 / $1,810.23 / $3,052.61	Facility		$1,414.44	$1,810.23	$3,052.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,422.33 / $1,810.23 / $3,135.00	Facility		$1,422.33	$1,810.23	$3,135.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $564.92 / $564.92 / $564.92	Facility	80	$564.92	$564.92	$564.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $168.25 / $168.25 / $480.19	Facility	AS	$168.25	$168.25	$480.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $16,000.00	Facility		$2,605.00	$7,333.00	$16,000.00