Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,869.00 / $12,941.00	Facility		$969.00	$3,869.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,829.64 / $8,111.90 / $42,563.54	Facility		$4,829.64	$8,111.90	$42,563.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,423.89 / $4,423.89 / $4,423.89	Facility		$4,423.89	$4,423.89	$4,423.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $112,206.36	Facility		$55.00	$55.00	$112,206.36
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $6,656.07 / $13,549.59 / $14,083.43	Facility	62	$6,656.07	$13,549.59	$14,083.43
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,064.97 / $2,167.94 / $2,253.35	Facility	AS	$1,064.97	$2,167.94	$2,253.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,800.88 / $5,529.17 / $10,798.79	Facility		$3,800.88	$5,529.17	$10,798.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,844.65 / $5,635.22 / $11,794.62	Facility		$3,844.65	$5,635.22	$11,794.62
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