Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,596.00 / $12,040.00	Facility		$945.00	$3,596.00	$12,040.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $898.50 / $898.50 / $921.67	Facility		$898.50	$898.50	$921.67
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 $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,902.86	Facility		$55.00	$55.00	$7,902.86
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $223.80 / $453.09 / $485.26	Facility	AS	$223.80	$453.09	$485.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $958.19 / $1,189.94 / $2,091.02	Facility		$958.19	$1,189.94	$2,091.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.12 / $1,209.01 / $2,280.44	Facility		$962.12	$1,209.01	$2,280.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $322.16 / $322.16	Facility	AS	$111.55	$322.16	$322.16
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