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 $2,797.55 / $2,797.55 / $2,908.44	Facility		$2,797.55	$2,797.55	$2,908.44
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 AS Low / Median / High Price $346.01 / $346.01 / $346.01	Facility	AS	$346.01	$346.01	$346.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,253.49	Facility		$55.00	$55.00	$31,253.49
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $680.49 / $1,408.15 / $1,481.13	Facility	AS	$680.49	$1,408.15	$1,481.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,950.07 / $3,665.76 / $6,296.14	Facility		$2,950.07	$3,665.76	$6,296.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,950.07 / $3,691.24 / $7,052.52	Facility		$2,950.07	$3,691.24	$7,052.52
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,187.93 / $1,187.93 / $1,187.93	Facility	80	$1,187.93	$1,187.93	$1,187.93
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $346.01 / $1,009.74 / $1,009.74	Facility	AS	$346.01	$1,009.74	$1,009.74
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