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
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $954.99	Facility		$891.25	$891.25	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $2,511.89	Facility		$891.25	$1,698.24	$2,511.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	AS	$169.82	$169.82	$169.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,454.71	Facility		$954.99	$1,258.93	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,137.96	Facility		$954.99	$1,258.93	$2,137.96
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