Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $4,028.00 / $10,649.00	Facility		$1,093.00	$4,028.00	$10,649.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,222.76 / $3,222.76 / $3,354.96	Facility		$3,222.76	$3,222.76	$3,354.96
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 $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,800.00 / $62,849.92	Facility		$55.00	$2,800.00	$62,849.92
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,854.13 / $9,961.85 / $10,404.54	Facility	62	$4,854.13	$9,961.85	$10,404.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $776.66 / $1,593.90 / $1,664.73	Facility	AS	$776.66	$1,593.90	$1,664.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,316.18 / $3,823.50 / $7,956.59	Facility		$3,316.18	$3,823.50	$7,956.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,316.18 / $3,877.32 / $8,144.25	Facility		$3,316.18	$3,877.32	$8,144.25
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $5,249.61 / $5,249.61	Facility	62	$2,448.96	$5,249.61	$5,249.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $1,142.32 / $1,142.32	Facility	AS	$391.83	$1,142.32	$1,142.32
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