Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $12,882.50	Facility		$1,148.15	$4,073.80	$12,882.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $22,387.21 / $22,387.21	Facility	50	$2,951.21	$22,387.21	$22,387.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $18,197.01	Facility		$5,128.61	$9,120.11	$18,197.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,943.28 / $7,943.28	Facility		$1,174.90	$7,943.28	$7,943.28
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 $5,011.87 / $18,197.01 / $19,952.62	Facility		$5,011.87	$18,197.01	$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 $1,174.90 / $1,778.28 / $5,248.07	Facility		$1,174.90	$1,778.28	$5,248.07
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $2,951.21 / $22,387.21	Facility	50	$2,951.21	$2,951.21	$22,387.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,019.95	Facility		$1,202.26	$1,659.59	$3,019.95
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
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 / $8,317.64 / $16,982.44	Facility		$2,630.27	$8,317.64	$16,982.44