Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $12,022.64	Facility		$831.76	$3,630.78	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $7,762.47 / $9,332.54	Facility	50	$3,162.28	$7,762.47	$9,332.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,187.76 / $3,981.07	Facility		$660.69	$2,187.76	$3,981.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,715.35	Facility		$54.95	$56.23	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,995.26 / $6,918.31	Facility		$489.78	$1,995.26	$6,918.31
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $3,162.28 / $7,762.47 / $9,332.54	Facility	50	$3,162.28	$7,762.47	$9,332.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $977.24	Facility		$380.19	$524.81	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64