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 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,211.60 / $2,044.59 / $9,631.00	Facility		$1,211.60	$2,044.59	$9,631.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,125.35 / $1,125.35 / $1,125.35	Facility		$1,125.35	$1,125.35	$1,125.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,502.93	Facility		$55.00	$55.00	$17,502.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $265.33 / $545.88 / $572.38	Facility	AS	$265.33	$545.88	$572.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,138.02 / $1,472.80 / $2,675.63	Facility		$1,138.02	$1,472.80	$2,675.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,138.02 / $1,479.43 / $3,067.71	Facility		$1,138.02	$1,479.43	$3,067.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $389.87 / $389.87 / $389.87	Facility	AS	$389.87	$389.87	$389.87
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