Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,124.00 / $7,497.00	Facility		$494.00	$2,124.00	$7,497.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,261.50 / $1,261.50 / $4,649.25	Facility	50	$1,261.50	$1,261.50	$4,649.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.85 / $270.64 / $270.64	Facility		$128.85	$270.64	$270.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,378.34	Facility		$55.00	$55.00	$1,378.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $462.60 / $1,432.02	Facility		$163.72	$462.60	$1,432.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $541.09 / $1,532.89	Facility		$163.72	$541.09	$1,532.89
United Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $949.00 / $2,287.00	Facility		$155.00	$949.00	$2,287.00