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 $1,288.25 / $2,187.76 / $7,762.47	Facility		$1,288.25	$2,187.76	$7,762.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Facility		$1,122.02	$1,122.02	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,137.96 / $2,511.89	Facility		$891.25	$2,137.96	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	22	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	52	$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	AS	$213.80	$213.80	$213.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility	52	$8,912.51	$8,912.51	$8,912.51
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	AS	$1,122.02	$1,122.02	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,951.21	Facility		$1,174.90	$1,548.82	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,691.53	Facility		$1,174.90	$1,548.82	$2,691.53
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