Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.85 / $3,596.00 / $10,836.00	Facility		$253.85	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.02 / $302.68 / $2,400.00	Facility		$179.02	$302.68	$2,400.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.97 / $139.97 / $139.97	Facility		$139.97	$139.97	$139.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,004.20	Facility		$55.00	$55.00	$2,004.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $195.53 / $388.89	Facility		$156.41	$195.53	$388.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $199.22 / $398.06	Facility		$156.41	$199.22	$398.06
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