Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $4,121.00 / $17,181.00	Facility		$803.00	$4,121.00	$17,181.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.71 / $414.53 / $2,138.13	Facility		$249.71	$414.53	$2,138.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $210.60 / $210.60	Facility		$210.60	$210.60	$210.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,897.49	Facility		$55.00	$55.00	$1,897.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $275.36 / $563.35	Facility		$232.76	$275.36	$563.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $276.52 / $617.83	Facility		$232.76	$276.52	$617.83
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