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 / $12,589.25	Facility		$1,000.00	$3,715.35	$12,589.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $2,754.23	Facility		$1,479.11	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,818.38	Facility		$891.25	$2,511.89	$2,818.38
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	22	$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	52	$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	AS	$281.84	$281.84	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,791.08	Facility		$54.95	$56.23	$14,791.08
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility	52	$11,748.98	$11,748.98	$11,748.98
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	AS	$1,479.11	$1,479.11	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,715.35	Facility		$1,548.82	$2,089.30	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,548.13	Facility		$1,548.82	$2,041.74	$3,548.13
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