Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $3,186.00 / $10,893.00	Facility		$723.00	$3,186.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,866.97 / $7,298.90 / $14,404.46	Facility		$3,866.97	$7,298.90	$14,404.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $282.99 / $282.99 / $282.99	Facility		$282.99	$282.99	$282.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,486.75	Facility		$55.00	$55.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $67.45 / $1,279.44 / $1,279.44	Facility	AS	$67.45	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $372.01 / $679.23	Facility		$288.08	$372.01	$679.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.52 / $374.52 / $775.01	Facility		$287.52	$374.52	$775.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.51 / $98.51 / $98.51	Facility	AS	$98.51	$98.51	$98.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00