Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,826.00	Facility		$916.00	$3,682.00	$12,826.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,758.58 / $9,032.74 / $17,886.03	Facility		$4,758.58	$9,032.74	$17,886.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $640.41 / $649.41	Facility		$80.00	$640.41	$649.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.88 / $800.88 / $800.88	Facility		$800.88	$800.88	$800.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,966.30 / $19,913.50 / $26,542.00	Facility		$3,966.30	$19,913.50	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.39 / $899.37 / $1,378.78	Facility		$679.39	$899.37	$1,378.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.39 / $900.57 / $1,429.30	Facility		$679.39	$900.57	$1,429.30
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