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 / $10,715.19	Facility		$1,000.00	$3,715.35	$10,715.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $9,332.54	Facility		$1,737.80	$2,951.21	$9,332.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,621.81	Facility		$1,479.11	$1,479.11	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,818.38	Facility		$891.25	$2,511.89	$2,818.38
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	22	$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	AS	$281.84	$281.84	$281.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $14,791.08	Facility		$2,818.38	$2,818.38	$14,791.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	AS	$1,479.11	$1,479.11	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $5,248.07	Facility		$1,479.11	$2,187.76	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,715.35	Facility		$1,548.82	$2,089.30	$3,715.35
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