Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,181.00 / $7,513.00	Facility		$488.00	$2,181.00	$7,513.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,233.70 / $10,233.70 / $10,233.70	Facility	50	$10,233.70	$10,233.70	$10,233.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $4,717.00 / $7,172.00	Facility		$1,845.00	$4,717.00	$7,172.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $108.37 / $115.50 / $115.50	Facility		$108.37	$115.50	$115.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $555.55	Facility		$55.00	$55.00	$555.55
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $169.99 / $340.62 / $347.22	Facility	62	$169.99	$340.62	$347.22
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $27.20 / $54.50 / $55.56	Facility	AS	$27.20	$54.50	$55.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $138.13 / $284.99	Facility		$115.06	$138.13	$284.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $138.75 / $308.06	Facility		$115.06	$138.75	$308.06
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00