Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,219.00 / $11,453.00	Facility		$872.00	$3,219.00	$11,453.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,219.26 / $3,753.86 / $11,426.85	Facility		$2,219.26	$3,753.86	$11,426.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,909.08 / $1,909.08 / $1,948.77	Facility		$1,909.08	$1,909.08	$1,948.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $11,161.46	Facility		$55.00	$2,000.00	$11,161.46
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,200.13 / $6,434.68 / $6,975.91	Facility	62	$3,200.13	$6,434.68	$6,975.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $512.02 / $1,029.55 / $1,116.15	Facility	AS	$512.02	$1,029.55	$1,116.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,014.35 / $2,647.63 / $3,910.90	Facility		$2,014.35	$2,647.63	$3,910.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,014.35 / $2,639.95 / $3,910.90	Facility		$2,014.35	$2,639.95	$3,910.90
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