Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $11,453.00	Facility		$983.00	$3,682.00	$11,453.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,324.50 / $4,453.50 / $6,490.98	Facility	50	$4,324.50	$4,453.50	$6,490.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,683.38 / $4,538.91 / $14,543.00	Facility		$2,683.38	$4,538.91	$14,543.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,318.67 / $2,318.67 / $2,318.67	Facility		$2,318.67	$2,318.67	$2,318.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $18,514.91	Facility		$5,897.00	$5,897.00	$18,514.91
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,815.15 / $7,746.01 / $8,379.33	Facility	62	$3,815.15	$7,746.01	$8,379.33
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $610.41 / $1,239.35 / $1,340.69	Facility	AS	$610.41	$1,239.35	$1,340.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,545.96 / $3,445.71 / $5,794.62	Facility		$2,545.96	$3,445.71	$5,794.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,545.96 / $3,475.90 / $5,824.50	Facility		$2,545.96	$3,475.90	$5,824.50
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $4,038.59 / $4,038.59 / $4,038.59	Facility	62	$4,038.59	$4,038.59	$4,038.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,033.88 / $1,033.88 / $1,033.88	Facility	80	$1,033.88	$1,033.88	$1,033.88
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $878.80 / $878.80 / $878.80	Facility	AS	$878.80	$878.80	$878.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,918.00 / $13,134.00	Facility		$2,093.00	$5,918.00	$13,134.00