Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $3,596.00 / $12,281.00	Facility		$1,068.00	$3,596.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,952.72 / $6,940.25 / $13,788.57	Facility		$3,952.72	$6,940.25	$13,788.57
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,063.47 / $1,063.47 / $1,063.47	Facility		$1,063.47	$1,063.47	$1,063.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,856.55	Facility		$55.00	$55.00	$13,856.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.82 / $1,481.64 / $2,735.63	Facility		$1,163.82	$1,481.64	$2,735.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,163.82 / $1,494.64 / $3,273.10	Facility		$1,163.82	$1,494.64	$3,273.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,184.00 / $16,000.00	Facility		$2,605.00	$7,184.00	$16,000.00