Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,589.25	Facility		$1,000.00	$3,890.45	$12,589.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $10,000.00	Facility		$2,818.38	$5,011.87	$10,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $7,079.46 / $7,079.46	Facility		$660.69	$7,079.46	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,168.69 / $5,370.32	Facility		$1,230.27	$4,168.69	$5,370.32
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	22	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $50,118.72 / $50,118.72	Facility		$17,782.79	$50,118.72	$50,118.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	AS	$1,778.28	$1,778.28	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $2,570.40	Facility		$691.83	$977.24	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,621.81	Facility		$691.83	$933.25	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $10,964.78	Facility		$1,698.24	$5,011.87	$10,964.78