Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.15 / $3,570.00 / $10,893.00	Facility		$181.15	$3,570.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $228.40 / $228.40	Facility		$104.90	$228.40	$228.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $2,277.00 / $4,619.00	Facility		$136.38	$2,277.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $26.70 / $54.19 / $56.60	Facility	AS	$26.70	$54.19	$56.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.66 / $147.19 / $260.58	Facility		$113.66	$147.19	$260.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $149.24 / $274.51	Facility		$113.89	$149.24	$274.51
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $45.87 / $45.87 / $45.87	Facility	80	$45.87	$45.87	$45.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $38.99 / $38.99	Facility	AS	$13.27	$38.99	$38.99
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