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 $2,805.63 / $2,805.63 / $2,911.56	Facility		$2,805.63	$2,805.63	$2,911.56
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 $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,452.39	Facility		$55.00	$55.00	$31,452.39
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,277.71 / $8,852.98 / $9,325.23	Facility	62	$4,277.71	$8,852.98	$9,325.23
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $684.43 / $1,416.48 / $1,492.04	Facility	AS	$684.43	$1,416.48	$1,492.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,954.23 / $3,686.94 / $6,305.19	Facility		$2,954.23	$3,686.94	$6,305.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,954.23 / $3,708.54 / $7,085.35	Facility		$2,954.23	$3,708.54	$7,085.35
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $4,648.87 / $4,648.87	Facility	62	$2,171.67	$4,648.87	$4,648.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,190.10 / $1,190.10 / $1,190.10	Facility	80	$1,190.10	$1,190.10	$1,190.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $1,011.59 / $1,011.59	Facility	AS	$347.47	$1,011.59	$1,011.59
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