Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,774.00 / $13,004.00	Facility		$1,077.00	$3,774.00	$13,004.00
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $20,373.75 / $20,373.75 / $20,373.75	Facility	62	$20,373.75	$20,373.75	$20,373.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,535.79 / $2,575.65 / $10,406.00	Facility		$1,535.79	$2,575.65	$10,406.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $727.89 / $727.89 / $1,349.40	Facility		$727.89	$727.89	$1,349.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,288.16	Facility		$55.00	$55.00	$18,288.16
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,092.26 / $4,223.56 / $4,342.96	Facility	62	$2,092.26	$4,223.56	$4,342.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $334.76 / $675.77 / $694.87	Facility	AS	$334.76	$675.77	$694.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,428.03 / $1,707.26 / $3,391.53	Facility		$1,428.03	$1,707.26	$3,391.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,428.03 / $1,715.02 / $3,820.26	Facility		$1,428.03	$1,715.02	$3,820.26
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