Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,188.00 / $10,836.00	Facility		$727.00	$3,188.00	$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 $233.65 / $233.65 / $233.65	Facility		$233.65	$233.65	$233.65
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 $56.30 / $1,279.44 / $1,279.44	Facility	AS	$56.30	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.25 / $309.92 / $569.20	Facility		$240.25	$309.92	$569.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.25 / $310.17 / $644.42	Facility		$240.25	$310.17	$644.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.91 / $81.91 / $81.91	Facility	AS	$81.91	$81.91	$81.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00