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
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,737.80	Facility		$1,584.89	$1,584.89	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,019.95	Facility		$891.25	$2,511.89	$3,019.95
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	22	$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	52	$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,848.93	Facility		$54.95	$56.23	$15,848.93
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Facility	52	$12,589.25	$12,589.25	$12,589.25
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 $1,584.89 / $2,137.96 / $3,981.07	Facility		$1,584.89	$2,137.96	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,715.35	Facility		$1,584.89	$2,089.30	$3,715.35
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