Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,112.25 / $2,206.00	Facility		$80.00	$2,112.25	$2,206.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,606.76 / $2,606.76 / $2,606.76	Facility		$2,606.76	$2,606.76	$2,606.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.88 / $257.88 / $257.88	Facility	AS	$257.88	$257.88	$257.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $23,339.16	Facility		$55.00	$5,000.00	$23,339.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $497.89 / $1,057.84 / $1,115.52	Facility	AS	$497.89	$1,057.84	$1,115.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.17 / $2,764.93 / $4,416.57	Facility		$2,158.17	$2,764.93	$4,416.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,165.66 / $2,785.61 / $4,529.97	Facility		$2,165.66	$2,785.61	$4,529.97
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $257.88 / $257.88 / $734.10	Facility	AS	$257.88	$257.88	$734.10
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,547.00 / $9,000.00	Facility		$500.00	$2,547.00	$9,000.00