Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,511.89 / $7,585.78	Facility		$660.69	$2,511.89	$7,585.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $4,265.80	Facility		$1,148.15	$2,187.76	$4,265.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $660.69 / $660.69	Facility		$79.43	$660.69	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,498.45 / $19,498.45	Facility		$4,786.30	$19,498.45	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	54	$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $3,311.31	Facility		$660.69	$933.25	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,479.11	Facility		$660.69	$891.25	$1,479.11
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	54	$812.83	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,071.52 / $2,691.53	Facility		$162.18	$1,071.52	$2,691.53