Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,682.00 / $12,729.00	Facility		$916.00	$3,682.00	$12,729.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.96 / $1,201.68 / $4,699.00	Facility		$719.96	$1,201.68	$4,699.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $647.16 / $647.16 / $647.16	Facility		$647.16	$647.16	$647.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,117.24	Facility		$55.00	$55.00	$9,117.24
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $163.37 / $333.49 / $357.85	Facility	AS	$163.37	$333.49	$357.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $582.73 / $817.11 / $1,589.19	Facility		$582.73	$817.11	$1,589.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $582.73 / $817.11 / $1,629.78	Facility		$582.73	$817.11	$1,629.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00