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 / $1,663.73 / $1,724.95	Facility		$80.00	$1,663.73	$1,724.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,036.65 / $2,036.65 / $2,036.65	Facility		$2,036.65	$2,036.65	$2,036.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.26 / $202.26 / $202.26	Facility	AS	$202.26	$202.26	$202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,325.93	Facility		$55.00	$55.00	$22,325.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $392.60 / $824.88 / $879.96	Facility	AS	$392.60	$824.88	$879.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,726.47 / $2,213.52 / $3,664.65	Facility		$1,726.47	$2,213.52	$3,664.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,734.06 / $2,220.40 / $3,750.00	Facility		$1,734.06	$2,220.40	$3,750.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $202.26 / $202.26 / $579.24	Facility	AS	$202.26	$202.26	$579.24
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