Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,596.00 / $10,836.00	Facility		$788.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $701.52 / $1,188.89 / $6,170.40	Facility		$701.52	$1,188.89	$6,170.40
Christus Facility/Professional Facility Modifier Low / Median / High Price $653.67 / $653.67 / $653.67	Facility		$653.67	$653.67	$653.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,665.24	Facility		$55.00	$55.00	$5,665.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $683.37 / $898.20 / $1,565.49	Facility		$683.37	$898.20	$1,565.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $683.37 / $901.80 / $1,688.40	Facility		$683.37	$901.80	$1,688.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00