Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $10,232.93	Facility		$1,230.27	$4,365.16	$10,232.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $9,332.54	Facility		$1,380.38	$2,344.23	$9,332.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,202.26	Facility		$741.31	$741.31	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $2,511.89	Facility		$891.25	$2,238.72	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $12,022.64	Facility		$2,818.38	$10,232.93	$12,022.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	AS	$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,715.35	Facility		$1,258.93	$1,737.80	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,951.21	Facility		$1,258.93	$1,698.24	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,290.87 / $10,232.93	Facility		$407.38	$2,290.87	$10,232.93