Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,084.66 / $9,092.56 / $18,389.06	Facility		$5,084.66	$9,092.56	$18,389.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,507.37 / $1,576.91	Facility		$80.00	$1,507.37	$1,576.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.07 / $1,858.07 / $1,858.07	Facility		$1,858.07	$1,858.07	$1,858.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.10 / $184.10 / $184.10	Facility	AS	$184.10	$184.10	$184.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $20,179.93	Facility		$55.00	$5,000.00	$20,179.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $350.08 / $1,887.52 / $1,887.52	Facility	AS	$350.08	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,550.08 / $2,002.68 / $3,333.00	Facility		$1,550.08	$2,002.68	$3,333.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,554.69 / $2,003.04 / $3,372.60	Facility		$1,554.69	$2,003.04	$3,372.60
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $620.04 / $620.04 / $620.04	Facility	80	$620.04	$620.04	$620.04
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $184.10 / $184.10 / $527.04	Facility	AS	$184.10	$184.10	$527.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00