Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.75 / $3,455.00 / $10,608.00	Facility		$863.75	$3,455.00	$10,608.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,847.50 / $4,305.00 / $9,951.11	Facility	50	$1,847.50	$4,305.00	$9,951.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,605.41 / $4,673.28 / $9,573.37	Facility		$2,605.41	$4,673.28	$9,573.37
Christus Facility/Professional Facility Modifier Low / Median / High Price $633.09 / $4,133.97 / $4,133.97	Facility		$633.09	$4,133.97	$4,133.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $2,207.78 / $2,207.78	Facility		$2,207.78	$2,207.78	$2,207.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $26,542.00 / $26,542.00	Facility		$8,723.79	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $667.29 / $944.39 / $1,720.36	Facility		$667.29	$944.39	$1,720.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.29 / $954.09 / $1,764.30	Facility		$667.29	$954.09	$1,764.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00