Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,377.00	Facility		$872.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.43 / $2,733.77 / $5,811.40	Facility		$1,546.43	$2,733.77	$5,811.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $363.98 / $366.25	Facility		$80.00	$363.98	$366.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.18 / $444.18 / $444.18	Facility		$444.18	$444.18	$444.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,451.80 / $11,500.00 / $26,542.00	Facility		$1,451.80	$11,500.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.26 / $478.37 / $799.82	Facility		$370.26	$478.37	$799.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.23 / $485.94 / $838.83	Facility		$373.23	$485.94	$838.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,391.00 / $4,063.00 / $8,226.00	Facility		$1,391.00	$4,063.00	$8,226.00