Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,682.00 / $12,377.00	Facility		$882.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,408.96 / $4,325.17 / $8,294.46	Facility		$2,408.96	$4,325.17	$8,294.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $505.21 / $510.60	Facility		$80.00	$505.21	$510.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $637.95 / $637.95	Facility		$637.95	$637.95	$637.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,103.67 / $11,500.00 / $26,542.00	Facility		$2,103.67	$11,500.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $536.44 / $692.00 / $1,100.28	Facility		$536.44	$692.00	$1,100.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.19 / $697.37 / $1,138.71	Facility		$539.19	$697.37	$1,138.71
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