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 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,576.61 / $2,686.68 / $13,443.05	Facility		$1,576.61	$2,686.68	$13,443.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,060.28 / $1,060.28 / $1,060.28	Facility		$1,060.28	$1,060.28	$1,060.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,402.66	Facility		$55.00	$55.00	$18,402.66
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,103.12 / $4,249.09 / $4,374.39	Facility	62	$2,103.12	$4,249.09	$4,374.39
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $336.50 / $679.85 / $699.90	Facility	AS	$336.50	$679.85	$699.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,494.03 / $1,889.56 / $3,410.63	Facility		$1,494.03	$1,889.56	$3,410.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,494.03 / $1,932.03 / $4,191.38	Facility		$1,494.03	$1,932.03	$4,191.38
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