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 / $12,022.64	Facility		$1,000.00	$3,715.35	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $9,120.11	Facility		$1,258.93	$2,137.96	$9,120.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,174.90	Facility		$1,096.48	$1,096.48	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $2,511.89	Facility		$891.25	$2,041.74	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	22	$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	AS	$204.17	$204.17	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	AS	$1,071.52	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,884.03	Facility		$1,122.02	$1,479.11	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,511.89	Facility		$1,122.02	$1,445.44	$2,511.89
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