Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,754.23 / $7,762.47	Facility		$724.44	$2,754.23	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,230.27 / $2,187.76 / $2,187.76	Facility	50	$1,230.27	$2,187.76	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $10,000.00	Facility		$2,818.38	$5,011.87	$10,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,019.95 / $3,019.95	Facility		$416.87	$3,019.95	$3,019.95
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
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AS	$870.96	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,071.52 / $5,495.41	Facility		$436.52	$1,071.52	$5,495.41
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	50	$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $977.24	Facility		$416.87	$524.81	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78