Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.00 / $2,080.00 / $6,386.00	Facility		$471.00	$2,080.00	$6,386.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $718.05 / $1,222.21 / $2,715.53	Facility		$718.05	$1,222.21	$2,715.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $379.16 / $379.16	Facility		$109.59	$379.16	$379.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.61 / $702.60 / $1,652.00	Facility		$529.61	$702.60	$1,652.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,776.25 / $11,500.00 / $12,000.00	Facility		$2,776.25	$11,500.00	$12,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.69 / $177.15 / $302.25	Facility		$119.69	$177.15	$302.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.69 / $179.23 / $329.73	Facility		$119.69	$179.23	$329.73
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00