Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $8,912.51	Facility		$1,621.81	$2,754.23	$8,912.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,445.44 / $1,513.56	Facility		$79.43	$1,445.44	$1,513.56
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 / $15,848.93	Facility		$5,011.87	$5,011.87	$15,848.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	AS	$1,584.89	$1,584.89	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,890.45	Facility		$1,412.54	$1,995.26	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,467.37	Facility		$1,479.11	$1,949.84	$3,467.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	AS	$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,715.19 / $22,908.68	Facility		$4,570.88	$10,715.19	$22,908.68