Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,515.63 / $2,480.12 / $7,388.88	Facility		$1,515.63	$2,480.12	$7,388.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,310.78 / $1,310.78 / $1,310.78	Facility		$1,310.78	$1,310.78	$1,310.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,959.20	Facility		$55.00	$55.00	$25,959.20
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,013.19 / $4,114.74 / $4,286.25	Facility	62	$2,013.19	$4,114.74	$4,286.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $322.11 / $658.36 / $685.80	Facility	AS	$322.11	$658.36	$685.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.20 / $1,830.49 / $3,245.59	Facility		$1,479.20	$1,830.49	$3,245.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.20 / $1,868.18 / $3,721.58	Facility		$1,479.20	$1,868.18	$3,721.58
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