Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $12,882.50	Facility		$1,122.02	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,549.93 / $18,620.87	Facility		$5,128.61	$9,549.93	$18,620.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,258.93	Facility		$79.43	$1,202.26	$1,258.93
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 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $4,466.84	Facility		$1,148.15	$1,659.59	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,951.21	Facility		$1,202.26	$1,584.89	$2,951.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
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