Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.51 / $3,601.00 / $12,281.00	Facility		$853.51	$3,601.00	$12,281.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,210.00 / $3,210.00 / $3,210.00	Facility	50	$3,210.00	$3,210.00	$3,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $3,076.97 / $6,289.40	Facility		$1,664.27	$3,076.97	$6,289.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $490.82 / $490.82 / $804.01	Facility		$490.82	$490.82	$804.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.04 / $1,263.04 / $1,304.32	Facility		$1,263.04	$1,263.04	$1,304.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,013.28 / $26,542.00 / $26,542.00	Facility		$4,013.28	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $807.76 / $1,254.07	Facility		$585.04	$807.76	$1,254.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $813.24 / $1,304.32	Facility		$585.04	$813.24	$1,304.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,061.00 / $8,759.00	Facility		$1,200.00	$4,061.00	$8,759.00