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 / $10,836.00	Facility		$921.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,044.65 / $7,216.02 / $14,275.00	Facility		$4,044.65	$7,216.02	$14,275.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $845.16 / $845.16 / $845.16	Facility		$845.16	$845.16	$845.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,856.55	Facility		$55.00	$55.00	$13,856.55
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $207.63 / $1,314.53 / $1,314.53	Facility	AS	$207.63	$1,314.53	$1,314.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.21 / $1,237.08 / $2,103.38	Facility		$968.21	$1,237.08	$2,103.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.21 / $1,258.67 / $2,376.08	Facility		$968.21	$1,258.67	$2,376.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00