Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.51 / $4,185.00 / $22,161.00	Facility		$734.51	$4,185.00	$22,161.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $94.90 / $118.35 / $146.90	Facility	53	$94.90	$118.35	$146.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $768.68 / $1,712.06 / $8,921.24	Facility		$768.68	$1,712.06	$8,921.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $578.39 / $615.28 / $615.28	Facility		$578.39	$615.28	$615.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,475.00 / $19,085.00 / $36,562.00	Facility		$12,475.00	$19,085.00	$36,562.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,385.51 / $31,754.00 / $31,754.00	Facility		$5,385.51	$31,754.00	$31,754.00
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $286.20 / $6,350.80 / $6,350.80	Facility	53	$286.20	$6,350.80	$6,350.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $591.76 / $732.46 / $1,346.88	Facility		$591.76	$732.46	$1,346.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.41 / $811.60 / $24,270.00	Facility		$593.41	$811.60	$24,270.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $9,280.00 / $30,675.00	Facility		$2,614.00	$9,280.00	$30,675.00