Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.00 / $2,562.00 / $7,495.00	Facility		$847.00	$2,562.00	$7,495.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,258.35 / $6,347.43 / $12,610.23	Facility		$3,258.35	$6,347.43	$12,610.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $864.84 / $864.84 / $864.84	Facility		$864.84	$864.84	$864.84
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 / $16,394.00 / $16,394.00	Facility		$11,500.00	$16,394.00	$16,394.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $1,282.58 / $2,162.21	Facility		$966.18	$1,282.58	$2,162.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $1,295.31 / $2,474.76	Facility		$966.18	$1,295.31	$2,474.76
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $368.22 / $368.22 / $368.22	Facility	80	$368.22	$368.22	$368.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00