Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.00 / $3,894.00 / $13,933.00	Facility		$1,156.00	$3,894.00	$13,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,157.91 / $9,272.02 / $18,811.09	Facility		$5,157.91	$9,272.02	$18,811.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,364.66 / $7,877.35 / $7,877.35	Facility		$1,364.66	$7,877.35	$7,877.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.59 / $1,700.59 / $1,700.59	Facility		$1,700.59	$1,700.59	$1,700.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $168.44 / $168.44 / $168.44	Facility	AS	$168.44	$168.44	$168.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,913.50 / $30,000.00	Facility		$55.00	$19,913.50	$30,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $323.76 / $1,887.52 / $1,887.52	Facility	AS	$323.76	$1,887.52	$1,887.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.94 / $1,848.59 / $3,053.30	Facility		$1,421.94	$1,848.59	$3,053.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,421.99 / $1,848.59 / $3,064.80	Facility		$1,421.99	$1,848.59	$3,064.80
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $569.41 / $569.41 / $569.41	Facility	80	$569.41	$569.41	$569.41
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $168.44 / $168.44 / $484.01	Facility	AS	$168.44	$168.44	$484.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,333.00 / $16,000.00	Facility		$2,605.00	$7,333.00	$16,000.00