Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,647.00 / $13,004.00	Facility		$935.00	$3,647.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,406.34 / $8,895.81	Facility		$2,466.44	$4,406.34	$8,895.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $759.44 / $759.44 / $759.44	Facility		$759.44	$759.44	$759.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,984.00	Facility		$55.00	$55.00	$7,984.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.81 / $757.42 / $757.42	Facility	AS	$184.81	$757.42	$757.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $485.61 / $893.88 / $1,549.46	Facility		$485.61	$893.88	$1,549.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.61 / $893.88 / $1,762.70	Facility		$485.61	$893.88	$1,762.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00