Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,184.00 / $10,836.00	Facility		$727.00	$3,184.00	$10,836.00
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 $345.55 / $345.55 / $345.55	Facility		$345.55	$345.55	$345.55
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 $82.95 / $1,279.44 / $1,279.44	Facility	AS	$82.95	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.24 / $457.59 / $833.56	Facility		$354.24	$457.59	$833.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $460.51 / $952.49	Facility		$353.00	$460.51	$952.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $121.22 / $121.22 / $121.22	Facility	AS	$121.22	$121.22	$121.22
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