Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,365.16 / $10,715.19	Facility		$1,202.26	$4,365.16	$10,715.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $10,964.78	Facility		$1,905.46	$3,311.31	$10,964.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $1,698.24	Facility		$1,621.81	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,090.30	Facility		$891.25	$2,511.89	$3,090.30
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	22	$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	AS	$309.03	$309.03	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $16,218.10	Facility		$2,818.38	$10,232.93	$16,218.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AS	$1,621.81	$1,621.81	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,570.88	Facility		$1,698.24	$2,290.87	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,981.07	Facility		$1,698.24	$2,238.72	$3,981.07
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