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 / $12,589.25	Facility		$1,000.00	$3,715.35	$12,589.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $6,456.54	Facility		$1,096.48	$1,862.09	$6,456.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,023.29	Facility		$954.99	$954.99	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,778.28 / $2,511.89	Facility		$891.25	$1,778.28	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	22	$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	AS	$933.25	$933.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,511.89	Facility		$1,000.00	$1,318.26	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,187.76	Facility		$1,000.00	$1,288.25	$2,187.76
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