Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,647.00 / $12,480.00	Facility		$921.00	$3,647.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,910.17 / $7,372.81 / $14,745.61	Facility		$3,910.17	$7,372.81	$14,745.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $748.00 / $757.30	Facility		$80.00	$748.00	$757.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $974.57 / $974.57 / $974.57	Facility		$974.57	$974.57	$974.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,793.64 / $16,394.00 / $16,547.20	Facility		$4,793.64	$16,394.00	$16,547.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $840.95 / $1,065.13 / $1,704.92	Facility		$840.95	$1,065.13	$1,704.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.70 / $1,075.65 / $1,723.49	Facility		$841.70	$1,075.65	$1,723.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00