Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,682.00 / $12,281.00	Facility		$895.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,587.23 / $4,379.92 / $8,431.35	Facility		$2,587.23	$4,379.92	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $646.77 / $656.52	Facility		$80.00	$646.77	$656.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,711.08 / $11,500.00 / $26,542.00	Facility		$2,711.08	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.38 / $849.00 / $849.00	Facility	AS	$165.38	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $709.79 / $999.61 / $1,520.57	Facility		$709.79	$999.61	$1,520.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.04 / $1,004.78 / $1,591.03	Facility		$711.04	$1,004.78	$1,591.03
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $232.50 / $232.50 / $232.50	Facility	AS	$232.50	$232.50	$232.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00