Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,682.00 / $15,000.00	Facility		$803.00	$3,682.00	$15,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.44 / $4,406.34 / $8,973.86	Facility		$2,466.44	$4,406.34	$8,973.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $506.32 / $506.32 / $506.32	Facility		$506.32	$506.32	$506.32
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 $121.77 / $757.42 / $757.42	Facility	AS	$121.77	$757.42	$757.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $572.54 / $767.18 / $1,254.08	Facility		$572.54	$767.18	$1,254.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.54 / $772.95 / $1,423.59	Facility		$572.54	$772.95	$1,423.59
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