Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Facility Modifier 62 Low / Median / High Price $9,996.00 / $9,996.00 / $9,996.00	Facility	62	$9,996.00	$9,996.00	$9,996.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.91 / $544.26 / $1,848.15	Facility		$329.91	$544.26	$1,848.15
Christus Facility/Professional Facility Modifier Low / Median / High Price $283.63 / $283.63 / $283.63	Facility		$283.63	$283.63	$283.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,451.84	Facility		$55.00	$55.00	$1,451.84
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $443.58 / $889.38 / $907.40	Facility	62	$443.58	$889.38	$907.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $70.97 / $142.30 / $145.18	Facility	AS	$70.97	$142.30	$145.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.47 / $360.55 / $716.67	Facility		$300.47	$360.55	$716.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.47 / $362.19 / $805.76	Facility		$300.47	$362.19	$805.76
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