Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,040.00	Facility		$945.00	$3,682.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,539.07 / $6,940.25 / $14,543.00	Facility		$3,539.07	$6,940.25	$14,543.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $828.64 / $828.64 / $828.64	Facility		$828.64	$828.64	$828.64
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
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.37 / $1,208.98 / $2,480.00	Facility		$947.37	$1,208.98	$2,480.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.37 / $1,231.58 / $2,596.00	Facility		$947.37	$1,231.58	$2,596.00
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