Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,040.00	Facility		$969.00	$3,682.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,398.43 / $2,345.29 / $8,006.00	Facility		$1,398.43	$2,345.29	$8,006.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,289.47 / $1,289.47 / $1,289.47	Facility		$1,289.47	$1,289.47	$1,289.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,748.16	Facility		$55.00	$55.00	$24,748.16
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,909.80 / $3,920.79 / $4,101.85	Facility	62	$1,909.80	$3,920.79	$4,101.85
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $305.57 / $627.33 / $656.30	Facility	AS	$305.57	$627.33	$656.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.52 / $1,728.38 / $3,088.20	Facility		$1,329.52	$1,728.38	$3,088.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,329.52 / $1,741.82 / $3,490.02	Facility		$1,329.52	$1,741.82	$3,490.02
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,062.21 / $2,062.21 / $2,062.21	Facility	62	$2,062.21	$2,062.21	$2,062.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $527.91 / $527.91 / $527.91	Facility	80	$527.91	$527.91	$527.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $448.74 / $448.74 / $448.74	Facility	AS	$448.74	$448.74	$448.74
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,546.00 / $9,000.00	Facility		$495.00	$2,546.00	$9,000.00