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 $2,187.76 / $3,630.78 / $8,511.38	Facility		$2,187.76	$3,630.78	$8,511.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,041.74	Facility		$1,905.46	$1,905.46	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,548.13	Facility		$891.25	$2,511.89	$3,548.13
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility	22	$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,620.87	Facility		$54.95	$56.23	$18,620.87
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	AS	$1,905.46	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,677.35	Facility		$1,905.46	$2,511.89	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,365.16	Facility		$1,949.84	$2,511.89	$4,365.16
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