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 / $12,040.00	Facility		$969.00	$3,596.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,342.04 / $2,250.71 / $9,631.00	Facility		$1,342.04	$2,250.71	$9,631.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,239.58 / $1,378.13 / $1,378.13	Facility		$1,239.58	$1,378.13	$1,378.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $23,770.56	Facility		$55.00	$55.00	$23,770.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $293.20 / $602.50 / $630.82	Facility	AS	$293.20	$602.50	$630.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,256.41 / $1,626.39 / $2,963.68	Facility		$1,256.41	$1,626.39	$2,963.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,256.41 / $1,633.33 / $3,388.32	Facility		$1,256.41	$1,633.33	$3,388.32
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $506.60 / $506.60 / $506.60	Facility	80	$506.60	$506.60	$506.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $430.61 / $430.61 / $430.61	Facility	AS	$430.61	$430.61	$430.61
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