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 $1,698.24 / $1,698.24 / $1,819.70	Facility		$1,698.24	$1,698.24	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,162.28	Facility		$891.25	$2,511.89	$3,162.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility	22	$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	52	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	AS	$316.23	$316.23	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility	52	$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	AS	$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,265.80	Facility		$1,698.24	$2,290.87	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,890.45	Facility		$1,698.24	$2,238.72	$3,890.45
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