Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.29 / $3,596.00 / $10,836.00	Facility		$850.29	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.59 / $1,365.58 / $7,043.69	Facility		$821.59	$1,365.58	$7,043.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $758.52 / $758.52 / $758.52	Facility		$758.52	$758.52	$758.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,518.72	Facility		$55.00	$55.00	$14,518.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $178.00 / $367.25 / $387.86	Facility	AS	$178.00	$367.25	$387.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.30 / $1,146.36 / $1,859.96	Facility		$783.30	$1,146.36	$1,859.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.30 / $1,154.29 / $2,019.30	Facility		$783.30	$1,154.29	$2,019.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $260.35 / $260.35 / $260.35	Facility	AS	$260.35	$260.35	$260.35
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