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 / $10,471.29	Facility		$1,380.38	$2,344.23	$10,471.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,202.26	Facility		$707.95	$707.95	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $2,511.89	Facility		$891.25	$2,238.72	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	AS	$1,174.90	$1,174.90	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,090.30	Facility		$1,122.02	$1,584.89	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,754.23	Facility		$1,148.15	$1,548.82	$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