Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,511.38 / $15,488.17	Facility		$2,187.76	$8,511.38	$15,488.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $1,698.24	Facility		$79.43	$1,621.81	$1,698.24
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 / $5,011.87 / $21,379.62	Facility		$5,011.87	$5,011.87	$21,379.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	AS	$2,137.96	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $4,677.35	Facility		$1,479.11	$2,238.72	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,801.89	Facility		$1,621.81	$2,137.96	$3,801.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	AS	$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01