Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.00 / $2,747.00 / $7,542.00	Facility		$762.00	$2,747.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,243.05 / $8,294.46	Facility		$2,354.21	$4,243.05	$8,294.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $780.53 / $780.53	Facility		$80.00	$780.53	$780.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,094.16 / $11,500.00 / $16,394.00	Facility		$3,094.16	$11,500.00	$16,394.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.86 / $849.00 / $849.00	Facility	AS	$191.86	$849.00	$849.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $804.37 / $1,060.11 / $1,643.71	Facility		$804.37	$1,060.11	$1,643.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.72 / $1,064.60 / $1,691.72	Facility		$804.72	$1,064.60	$1,691.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $276.19 / $276.19 / $276.19	Facility	AS	$276.19	$276.19	$276.19
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