Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,184.00 / $10,836.00	Facility		$727.00	$3,184.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,366.33 / $2,609.81 / $5,396.51	Facility		$1,366.33	$2,609.81	$5,396.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $105.69 / $105.69	Facility		$105.69	$105.69	$105.69
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
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $143.07 / $272.76	Facility		$115.45	$143.07	$272.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $145.21 / $279.19	Facility		$115.45	$145.21	$279.19
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,529.00 / $5,925.00	Facility		$369.00	$1,529.00	$5,925.00