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 $1,690.67 / $2,887.10 / $17,801.00	Facility		$1,690.67	$2,887.10	$17,801.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,534.85 / $1,534.85 / $1,534.85	Facility		$1,534.85	$1,534.85	$1,534.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,453.76	Facility		$55.00	$55.00	$29,453.76
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $363.35 / $746.31 / $781.96	Facility	AS	$363.35	$746.31	$781.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,554.98 / $1,940.06 / $3,665.06	Facility		$1,554.98	$1,940.06	$3,665.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,554.98 / $1,947.41 / $4,146.18	Facility		$1,554.98	$1,947.41	$4,146.18
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $627.37 / $627.37 / $627.37	Facility	80	$627.37	$627.37	$627.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $533.26 / $533.26 / $533.26	Facility	AS	$533.26	$533.26	$533.26
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