Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,682.00 / $12,826.00	Facility		$1,002.00	$3,682.00	$12,826.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,156.37 / $2,244.64	Facility		$80.00	$2,156.37	$2,244.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,733.97 / $2,733.97 / $2,733.97	Facility		$2,733.97	$2,733.97	$2,733.97
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $1,688.18	Facility	62	$1,688.18	$1,688.18	$1,688.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $270.11	Facility	AS	$270.11	$270.11	$270.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,355.26	Facility		$55.00	$55.00	$24,355.26
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,271.79 / $6,872.73 / $7,281.81	Facility	62	$3,271.79	$6,872.73	$7,281.81
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $523.49 / $1,099.64 / $1,165.08	Facility	AS	$523.49	$1,099.64	$1,165.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,234.94 / $2,782.94 / $4,677.63	Facility		$2,234.94	$2,782.94	$4,677.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.89 / $2,799.26 / $4,891.68	Facility		$2,238.89	$2,799.26	$4,891.68
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,688.18 / $1,688.18 / $3,564.82	Facility	62	$1,688.18	$1,688.18	$3,564.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $912.59 / $912.59 / $912.59	Facility	80	$912.59	$912.59	$912.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $270.11 / $270.11 / $775.70	Facility	AS	$270.11	$270.11	$775.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00