Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,644.00 / $10,893.00	Facility		$969.00	$3,644.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,807.72 / $3,044.58 / $12,554.00	Facility		$1,807.72	$3,044.58	$12,554.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,543.55 / $1,543.55 / $1,543.55	Facility		$1,543.55	$1,543.55	$1,543.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,400.56	Facility		$55.00	$55.00	$16,400.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,744.90 / $2,168.23 / $4,034.06	Facility		$1,744.90	$2,168.23	$4,034.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,744.90 / $2,208.61 / $4,459.35	Facility		$1,744.90	$2,208.61	$4,459.35
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00