Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,186.00 / $10,893.00	Facility		$803.00	$3,186.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,436.33 / $4,325.17 / $8,431.35	Facility		$2,436.33	$4,325.17	$8,431.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $808.14 / $808.14	Facility		$80.00	$808.14	$808.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,221.00 / $11,500.00 / $26,542.00	Facility		$3,221.00	$11,500.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $199.51 / $849.00 / $849.00	Facility	AS	$199.51	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $838.54 / $1,103.23 / $1,712.12	Facility		$838.54	$1,103.23	$1,712.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.33 / $1,107.73 / $1,755.11	Facility		$840.33	$1,107.73	$1,755.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.87 / $287.87 / $287.87	Facility	AS	$287.87	$287.87	$287.87
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