Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,259.83 / $2,096.61 / $5,572.00	Facility		$1,259.83	$2,096.61	$5,572.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $1,120.19 / $1,150.85	Facility		$80.00	$1,120.19	$1,150.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.62 / $1,431.62 / $1,431.62	Facility		$1,431.62	$1,431.62	$1,431.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,705.47	Facility		$55.00	$55.00	$15,705.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.65 / $1,575.91 / $2,758.61	Facility		$1,218.65	$1,575.91	$2,758.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,218.65 / $1,588.26 / $2,772.71	Facility		$1,218.65	$1,588.26	$2,772.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,027.00 / $20,955.00	Facility		$4,600.00	$9,027.00	$20,955.00