Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.64 / $3,596.00 / $10,893.00	Facility		$314.64	$3,596.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.07 / $367.59 / $1,931.21	Facility		$214.07	$367.59	$1,931.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $181.77 / $201.56 / $201.56	Facility		$181.77	$201.56	$201.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,401.63	Facility		$55.00	$55.00	$1,401.63
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $282.80 / $876.02 / $876.02	Facility	62	$282.80	$876.02	$876.02
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.25 / $140.16 / $140.16	Facility	AS	$45.25	$140.16	$140.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.65 / $411.93 / $784.50	Facility		$208.65	$411.93	$784.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.65 / $419.96 / $784.50	Facility		$208.65	$419.96	$784.50
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