Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $2,960.00 / $10,048.00	Facility		$727.00	$2,960.00	$10,048.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,463.69 / $4,352.55 / $8,431.35	Facility		$2,463.69	$4,352.55	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $650.20 / $3,111.43 / $3,111.43	Facility		$650.20	$3,111.43	$3,111.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.84 / $11,500.00 / $26,542.00	Facility		$2,691.84	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.10 / $849.00 / $849.00	Facility	AS	$165.10	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.33 / $900.90 / $1,356.63	Facility		$648.33	$900.90	$1,356.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.33 / $908.05 / $1,391.27	Facility		$648.33	$908.05	$1,391.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $201.71 / $201.71 / $201.71	Facility	AS	$201.71	$201.71	$201.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,210.00 / $10,476.00	Facility		$1,693.00	$5,210.00	$10,476.00