Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,028.00 / $14,016.00	Facility		$921.00	$4,028.00	$14,016.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,986.00 / $6,055.00 / $9,208.75	Facility		$3,986.00	$6,055.00	$9,208.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $81.56 / $81.56	Facility		$81.56	$81.56	$81.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,131.00 / $26,542.00 / $26,542.00	Facility		$12,131.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.81 / $116.75 / $195.65	Facility		$86.81	$116.75	$195.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.81 / $118.70 / $209.71	Facility		$86.81	$118.70	$209.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,184.00 / $21,657.00	Facility		$2,608.00	$7,184.00	$21,657.00