Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $1,716.00 / $2,966.58	Facility		$318.75	$1,716.00	$2,966.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $475.00	Professional		$318.75	$318.75	$475.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.04 / $1,080.64 / $1,784.41	Facility		$462.04	$1,080.64	$1,784.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $219.00 / $219.00 / $219.00	Facility		$219.00	$219.00	$219.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.40 / $997.90 / $1,676.20	Facility		$337.40	$997.90	$1,676.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,647.01	Facility		$100.00	$100.00	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.18 / $1,438.18 / $1,438.18	Professional		$1,438.18	$1,438.18	$1,438.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $366.56 / $904.74	Facility		$318.75	$366.56	$904.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $366.56 / $904.74	Facility		$318.75	$366.56	$904.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15