Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.44 / $3,511.00 / $10,836.00	Facility		$220.44	$3,511.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.66 / $263.43 / $1,367.21	Facility		$159.66	$263.43	$1,367.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $138.96 / $138.96 / $138.96	Facility		$138.96	$138.96	$138.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $714.40	Facility		$55.00	$55.00	$714.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $34.29 / $69.33 / $71.44	Facility	AS	$34.29	$69.33	$71.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $188.60 / $346.87	Facility		$145.97	$188.60	$346.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $189.41 / $393.01	Facility		$145.97	$189.41	$393.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $59.10 / $59.10 / $59.10	Facility	80	$59.10	$59.10	$59.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.24 / $50.24 / $50.24	Facility	AS	$50.24	$50.24	$50.24
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