Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $1,258.93 / $4,677.35	Facility	50	$1,258.93	$1,258.93	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,630.27 / $4,265.80	Facility		$1,023.29	$2,630.27	$4,265.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $269.15 / $269.15	Facility		$128.82	$269.15	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $977.24 / $3,981.07	Facility		$173.78	$977.24	$3,981.07
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,258.93 / $1,258.93 / $4,677.35	Facility	50	$1,258.93	$1,258.93	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $537.03 / $1,548.82	Facility		$162.18	$537.03	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,691.53	Facility		$154.88	$1,047.13	$2,691.53