Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $13,489.63	Facility		$977.24	$3,715.35	$13,489.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $2,344.23	Facility		$251.19	$436.52	$2,344.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $234.42	Facility		$213.80	$213.80	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $2,511.89	Facility		$407.38	$407.38	$2,511.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	52	$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	AS	$40.74	$40.74	$40.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,479.11	Facility		$54.95	$56.23	$1,479.11
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	52	$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	AS	$147.91	$147.91	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $851.14	Facility		$229.09	$323.59	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $562.34	Facility		$229.09	$316.23	$562.34
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