Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,596.00 / $12,941.00	Facility		$921.00	$3,596.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.53 / $3,138.45 / $9,681.29	Facility		$1,862.53	$3,138.45	$9,681.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,324.65 / $1,324.65 / $1,720.04	Facility		$1,324.65	$1,324.65	$1,720.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $39,231.96	Facility		$55.00	$55.00	$39,231.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $409.89 / $837.29 / $873.75	Facility	AS	$409.89	$837.29	$873.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,911.78 / $2,485.31 / $4,184.83	Facility		$1,911.78	$2,485.31	$4,184.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,911.78 / $2,520.04 / $4,710.97	Facility		$1,911.78	$2,520.04	$4,710.97
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