Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,869.00 / $10,649.00	Facility		$1,093.00	$3,869.00	$10,649.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,594.63 / $1,594.63 / $1,635.15	Facility		$1,594.63	$1,594.63	$1,635.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,024.00 / $4,619.00	Facility		$900.00	$2,024.00	$4,619.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $15,913.92	Facility		$55.00	$10,160.00	$15,913.92
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $393.18 / $799.14 / $856.28	Facility	AS	$393.18	$799.14	$856.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.75 / $2,083.33 / $3,823.38	Facility		$1,689.75	$2,083.33	$3,823.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.75 / $2,119.38 / $4,027.54	Facility		$1,689.75	$2,119.38	$4,027.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $570.39 / $570.39	Facility	AS	$196.33	$570.39	$570.39
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,792.00	Facility		$385.00	$1,970.00	$8,792.00