Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $10,893.00	Facility		$945.00	$3,682.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,962.19 / $2,962.19 / $3,081.44	Facility		$2,962.19	$2,962.19	$3,081.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $2,244.61 / $2,244.61	Facility	62	$2,244.61	$2,244.61	$2,244.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $57,710.40	Facility		$55.00	$55.00	$57,710.40
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,453.45 / $9,144.40 / $9,562.91	Facility	62	$4,453.45	$9,144.40	$9,562.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.14 / $3,366.83 / $6,513.99	Facility		$2,701.14	$3,366.83	$6,513.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,723.59 / $3,366.83 / $7,197.92	Facility		$2,723.59	$3,366.83	$7,197.92
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,244.61 / $4,805.96 / $4,805.96	Facility	62	$2,244.61	$4,805.96	$4,805.96
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00