Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,596.00 / $10,836.00	Facility		$872.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.79 / $1,466.00 / $7,561.68	Facility		$877.79	$1,466.00	$7,561.68
Christus Facility/Professional Facility Modifier Low / Median / High Price $818.92 / $818.92 / $818.92	Facility		$818.92	$818.92	$818.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,515.36	Facility		$55.00	$55.00	$15,515.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $189.69 / $392.69 / $414.83	Facility	AS	$189.69	$392.69	$414.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.47 / $1,056.74 / $1,918.47	Facility		$817.47	$1,056.74	$1,918.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.47 / $1,062.71 / $2,201.03	Facility		$817.47	$1,062.71	$2,201.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $328.91 / $328.91 / $328.91	Facility	80	$328.91	$328.91	$328.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $279.57 / $279.57 / $279.57	Facility	AS	$279.57	$279.57	$279.57
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