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 $2,398.83 / $3,801.89 / $12,589.25	Facility		$2,398.83	$3,801.89	$12,589.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,290.87	Facility		$2,137.96	$2,137.96	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,511.89 / $3,981.07	Facility		$891.25	$2,511.89	$3,981.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	22	$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	62	$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	AS	$398.11	$398.11	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $37,153.52	Facility		$54.95	$56.23	$37,153.52
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility	62	$22,908.68	$22,908.68	$22,908.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	AS	$3,715.35	$3,715.35	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,248.07	Facility		$2,137.96	$2,818.38	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,897.79	Facility		$2,137.96	$2,818.38	$4,897.79
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