Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.08 / $3,682.00 / $12,281.00	Facility		$457.08	$3,682.00	$12,281.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $256.29 / $270.50	Facility		$80.00	$256.29	$270.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.52 / $333.52 / $333.52	Facility		$333.52	$333.52	$333.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $32.72 / $32.72 / $32.72	Facility	AS	$32.72	$32.72	$32.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,678.93 / $5,000.00	Facility		$55.00	$4,678.93	$5,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $63.11 / $133.22 / $138.26	Facility	AS	$63.11	$133.22	$138.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $360.13 / $608.02	Facility		$272.64	$360.13	$608.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.95 / $360.13 / $655.82	Facility		$273.95	$360.13	$655.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $32.72 / $32.72 / $94.57	Facility	AS	$32.72	$32.72	$94.57
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,064.00 / $8,759.00	Facility		$432.00	$2,064.00	$8,759.00