Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.86 / $2,017.00 / $6,691.00	Facility		$490.86	$2,017.00	$6,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,138.00 / $2,079.00 / $8,105.25	Facility	50	$1,138.00	$2,079.00	$8,105.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,994.25 / $3,663.85 / $7,327.69	Facility		$1,994.25	$3,663.85	$7,327.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $501.58 / $1,973.34 / $1,973.34	Facility		$501.58	$1,973.34	$1,973.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $12,000.00 / $12,000.00	Facility		$6,817.20	$12,000.00	$12,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $528.47 / $761.12	Facility		$326.10	$528.47	$761.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $534.20 / $788.29	Facility		$326.10	$534.20	$788.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00