Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.00 / $4,237.00 / $11,210.00	Facility		$1,221.00	$4,237.00	$11,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,253.66 / $7,492.25 / $14,501.13	Facility		$4,253.66	$7,492.25	$14,501.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,214.66 / $1,214.66 / $1,214.66	Facility		$1,214.66	$1,214.66	$1,214.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,027.91 / $7,027.91 / $7,027.91	Facility		$7,027.91	$7,027.91	$7,027.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $27,770.10	Facility		$12,131.00	$26,542.00	$27,770.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,362.18 / $1,842.95 / $3,069.87	Facility		$1,362.18	$1,842.95	$3,069.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,362.18 / $1,845.65 / $3,487.32	Facility		$1,362.18	$1,845.65	$3,487.32
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $519.19 / $519.19 / $519.19	Facility	80	$519.19	$519.19	$519.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00