Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,669.00 / $12,040.00	Facility		$945.00	$3,669.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,001.98 / $1,666.56 / $5,466.25	Facility		$1,001.98	$1,666.56	$5,466.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $868.38 / $868.38 / $868.38	Facility		$868.38	$868.38	$868.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,582.29	Facility		$55.00	$55.00	$9,582.29
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $213.56 / $432.80 / $446.02	Facility	AS	$213.56	$432.80	$446.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.66 / $1,294.89 / $2,167.55	Facility		$993.66	$1,294.89	$2,167.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.66 / $1,332.92 / $2,444.73	Facility		$993.66	$1,332.92	$2,444.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00