Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $14,454.40	Facility		$1,174.90	$4,073.80	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,549.93 / $19,054.61	Facility		$5,370.32	$9,549.93	$19,054.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,479.11	Facility		$79.43	$1,412.54	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,918.31 / $6,918.31	Facility		$3,630.78	$6,918.31	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	AS	$2,398.83	$2,398.83	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $5,011.87	Facility		$1,348.96	$1,949.84	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,467.37	Facility		$1,412.54	$1,905.46	$3,467.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $16,982.44	Facility		$2,630.27	$8,128.31	$16,982.44