Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $7,244.36	Facility		$1,096.48	$1,862.09	$7,244.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,071.52	Facility		$977.24	$977.24	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $2,511.89	Facility		$891.25	$1,819.70	$2,511.89
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	22	$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	52	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $9,772.37	Facility		$5,370.32	$8,511.38	$9,772.37
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility	52	$7,762.47	$7,762.47	$7,762.47
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	AS	$977.24	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,348.96 / $3,090.30	Facility		$977.24	$1,348.96	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,238.72	Facility		$977.24	$1,288.25	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $13,489.63	Facility		$2,187.76	$6,456.54	$13,489.63