Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $107.15 / $142.87	Facility		$100.61	$107.15	$142.87
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,075.88 / $1,075.88 / $1,075.88	Facility	25	$1,075.88	$1,075.88	$1,075.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $370.31 / $690.03	Facility		$158.13	$370.31	$690.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $125.08 / $125.08	Facility		$87.24	$125.08	$125.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.30 / $127.30 / $127.30	Facility		$127.30	$127.30	$127.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $221.00 / $523.65 / $523.65	Facility		$221.00	$523.65	$523.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $153.18 / $238.58	Facility		$96.90	$153.18	$238.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $150.24 / $249.28	Facility		$93.03	$150.24	$249.28