Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,480.00	Facility		$923.00	$3,682.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.44 / $2,199.51 / $4,699.00	Facility		$1,309.44	$2,199.51	$4,699.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $684.82 / $693.59	Facility		$80.00	$684.82	$693.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $868.22 / $868.22 / $868.22	Facility		$868.22	$868.22	$868.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,863.96 / $11,500.00 / $26,542.00	Facility		$2,863.96	$11,500.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $750.67 / $1,028.11 / $1,573.05	Facility		$750.67	$1,028.11	$1,573.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.83 / $1,034.71 / $1,662.40	Facility		$751.83	$1,034.71	$1,662.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00