Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.16 / $3,682.00 / $11,599.44	Facility		$752.16	$3,682.00	$11,599.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.63 / $1,115.54 / $5,778.93	Facility		$675.63	$1,115.54	$5,778.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $634.35 / $634.35 / $634.35	Facility		$634.35	$634.35	$634.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,726.73	Facility		$55.00	$55.00	$9,726.73
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $146.16 / $302.45 / $321.66	Facility	AS	$146.16	$302.45	$321.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.84 / $890.89 / $1,660.49	Facility		$648.84	$890.89	$1,660.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.37 / $907.35 / $1,692.17	Facility		$647.37	$907.35	$1,692.17
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $214.70 / $214.70 / $214.70	Facility	AS	$214.70	$214.70	$214.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00