Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,620.00 / $12,480.00	Facility		$923.00	$3,620.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.47 / $1,577.06 / $4,327.60	Facility		$940.47	$1,577.06	$4,327.60
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $847.83 / $865.32	Facility		$80.00	$847.83	$865.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,065.64 / $1,065.64 / $1,065.64	Facility		$1,065.64	$1,065.64	$1,065.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,548.10	Facility		$55.00	$55.00	$7,548.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $916.29 / $1,192.38 / $1,814.14	Facility		$916.29	$1,192.38	$1,814.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $916.29 / $1,197.70 / $1,891.89	Facility		$916.29	$1,197.70	$1,891.89
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