Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,454.71 / $6,918.31	Facility		$645.65	$2,454.71	$6,918.31
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $3,467.37 / $6,456.54	Facility	50	$1,513.56	$3,467.37	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,897.79 / $9,772.37	Facility		$2,691.53	$4,897.79	$9,772.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Facility		$524.81	$524.81	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $19,498.45 / $19,498.45	Facility		$8,709.64	$19,498.45	$19,498.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $3,890.45	Facility		$575.44	$912.01	$3,890.45
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $3,467.37 / $6,456.54	Facility	50	$1,513.56	$3,467.37	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,380.38	Facility		$575.44	$758.58	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78