Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.91 / $3,682.00 / $10,836.00	Facility		$872.91	$3,682.00	$10,836.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,237.50 / $4,237.50 / $4,237.50	Facility	50	$4,237.50	$4,237.50	$4,237.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.05 / $1,383.69 / $7,137.11	Facility		$837.05	$1,383.69	$7,137.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $382.86 / $382.86 / $725.29	Facility		$382.86	$382.86	$725.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,007.75	Facility		$55.00	$55.00	$8,007.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.99 / $361.65 / $373.40	Facility	AS	$177.99	$361.65	$373.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.90 / $1,084.03 / $1,833.86	Facility		$829.90	$1,084.03	$1,833.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.90 / $1,111.54 / $2,043.14	Facility		$829.90	$1,111.54	$2,043.14
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