Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $3,682.00 / $12,040.00	Facility		$993.00	$3,682.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,025.94 / $7,324.30 / $14,503.08	Facility		$4,025.94	$7,324.30	$14,503.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $995.96 / $995.96 / $995.96	Facility		$995.96	$995.96	$995.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
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 $1,113.65 / $1,499.57 / $2,763.75	Facility		$1,113.65	$1,499.57	$2,763.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.65 / $1,538.11 / $2,929.08	Facility		$1,113.65	$1,538.11	$2,929.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00