Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $3,869.00 / $12,826.00	Facility		$1,071.00	$3,869.00	$12,826.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,973.00 / $9,173.75 / $22,242.00	Facility	50	$2,973.00	$9,173.75	$22,242.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,074.10 / $8,972.92 / $18,125.31	Facility		$5,074.10	$8,972.92	$18,125.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,186.49 / $7,877.35 / $7,877.35	Facility		$1,186.49	$7,877.35	$7,877.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,476.67 / $3,603.00 / $6,702.00	Facility		$1,476.67	$3,603.00	$6,702.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.47 / $146.47 / $146.47	Facility	AS	$146.47	$146.47	$146.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $18,000.00 / $19,913.50	Facility		$5,897.00	$18,000.00	$19,913.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $285.30 / $1,887.52 / $1,887.52	Facility	AS	$285.30	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,237.61 / $1,619.23 / $2,869.56	Facility		$1,237.61	$1,619.23	$2,869.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,237.61 / $1,630.63 / $2,942.85	Facility		$1,237.61	$1,630.63	$2,942.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $493.88 / $493.88 / $493.88	Facility	80	$493.88	$493.88	$493.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $146.47 / $146.47 / $419.80	Facility	AS	$146.47	$146.47	$419.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,350.00 / $16,000.00	Facility		$2,605.00	$7,350.00	$16,000.00