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 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $9,120.11	Facility		$1,659.59	$2,818.38	$9,120.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,548.82	Facility		$1,412.54	$1,412.54	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $2,691.53	Facility		$891.25	$2,511.89	$2,691.53
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	22	$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	AS	$269.15	$269.15	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	AS	$1,412.54	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,715.35	Facility		$1,479.11	$1,995.26	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,388.44	Facility		$1,479.11	$1,995.26	$3,388.44
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