Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,893.00	Facility		$895.00	$3,596.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.17 / $1,512.66 / $7,754.45	Facility		$900.17	$1,512.66	$7,754.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $840.29 / $840.29 / $840.29	Facility		$840.29	$840.29	$840.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,934.72	Facility		$55.00	$55.00	$15,934.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.99 / $403.43 / $425.63	Facility	AS	$194.99	$403.43	$425.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $863.68 / $1,220.29 / $2,030.33	Facility		$863.68	$1,220.29	$2,030.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.68 / $1,252.08 / $2,259.94	Facility		$863.68	$1,252.08	$2,259.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.00 / $287.00 / $287.00	Facility	AS	$287.00	$287.00	$287.00
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00