Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,620.00 / $12,377.00	Facility		$872.00	$3,620.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.66 / $6,432.06 / $12,610.23	Facility		$3,300.66	$6,432.06	$12,610.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $425.55 / $425.55 / $425.55	Facility		$425.55	$425.55	$425.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $466.09 / $601.51 / $1,121.59	Facility		$466.09	$601.51	$1,121.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.09 / $603.32 / $1,223.46	Facility		$466.09	$603.32	$1,223.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $177.56 / $177.56 / $177.56	Facility	80	$177.56	$177.56	$177.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00