Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,570.00 / $10,836.00	Facility		$945.00	$3,570.00	$10,836.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $349.87 / $399.93 / $535.26	Facility	53	$349.87	$399.93	$535.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,831.45 / $3,039.82 / $12,554.00	Facility		$1,831.45	$3,039.82	$12,554.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,550.68 / $1,550.68 / $1,550.68	Facility		$1,550.68	$1,550.68	$1,550.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $31,665.76	Facility		$55.00	$55.00	$31,665.76
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $786.30 / $1,602.53 / $1,678.03	Facility	53	$786.30	$1,602.53	$1,678.03
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,457.17 / $5,007.89 / $5,243.85	Facility	62	$2,457.17	$5,007.89	$5,243.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,699.51 / $2,090.88 / $4,002.75	Facility		$1,699.51	$2,090.88	$4,002.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,699.51 / $2,090.88 / $4,507.60	Facility		$1,699.51	$2,090.88	$4,507.60
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