Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $1,833.53 / $8,982.00	Facility		$1,100.00	$1,833.53	$8,982.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,015.98 / $1,015.98 / $1,015.98	Facility		$1,015.98	$1,015.98	$1,015.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,477.28	Facility		$55.00	$55.00	$19,477.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $239.33 / $493.20 / $518.83	Facility	AS	$239.33	$493.20	$518.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,026.25 / $1,289.38 / $2,414.34	Facility		$1,026.25	$1,289.38	$2,414.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,026.25 / $1,324.95 / $2,730.08	Facility		$1,026.25	$1,324.95	$2,730.08
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $351.76 / $351.76 / $351.76	Facility	AS	$351.76	$351.76	$351.76
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