Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $4,028.00 / $14,449.00	Facility		$975.00	$4,028.00	$14,449.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $840.59 / $1,397.51 / $7,164.18	Facility		$840.59	$1,397.51	$7,164.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $694.12 / $785.95 / $785.95	Facility		$694.12	$785.95	$785.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,248.80	Facility		$55.00	$55.00	$7,248.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.89 / $1,061.48 / $1,817.62	Facility		$809.89	$1,061.48	$1,817.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.89 / $1,099.64 / $2,037.99	Facility		$809.89	$1,099.64	$2,037.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00