Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,377.00	Facility		$921.00	$3,682.00	$12,377.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,147.82 / $8,673.83 / $15,672.71	Facility		$3,147.82	$8,673.83	$15,672.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $683.37 / $695.99	Facility		$80.00	$683.37	$695.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,267.68 / $19,913.50 / $26,542.00	Facility		$4,267.68	$19,913.50	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.71 / $1,955.22 / $1,955.22	Facility	AS	$172.71	$1,955.22	$1,955.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.32 / $968.70 / $1,500.80	Facility		$740.32	$968.70	$1,500.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.32 / $973.98 / $1,541.00	Facility		$740.32	$973.98	$1,541.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $245.94 / $245.94 / $245.94	Facility	AS	$245.94	$245.94	$245.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00