Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $12,281.00	Facility		$803.00	$3,682.00	$12,281.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $741.02 / $765.85	Facility		$80.00	$741.02	$765.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.81 / $953.81 / $953.81	Facility		$953.81	$953.81	$953.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,666.75	Facility		$55.00	$55.00	$4,666.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.98 / $1,082.76 / $1,686.12	Facility		$799.98	$1,082.76	$1,686.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.98 / $1,087.31 / $1,749.15	Facility		$799.98	$1,087.31	$1,749.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $8,142.00 / $16,584.00	Facility		$2,614.00	$8,142.00	$16,584.00