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 $1,380.38 / $2,344.23 / $9,332.54	Facility		$1,380.38	$2,344.23	$9,332.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,348.96	Facility		$1,230.27	$1,230.27	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $2,511.89	Facility		$891.25	$2,290.87	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	AS	$229.09	$229.09	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,022.64	Facility		$54.95	$56.23	$12,022.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	AS	$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,090.30	Facility		$1,148.15	$1,621.81	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,754.23	Facility		$1,148.15	$1,584.89	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,000.00	Facility		$407.38	$2,290.87	$10,000.00