Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.27 / $3,570.00 / $10,836.00	Facility		$319.27	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.12 / $368.21 / $1,292.34	Facility		$219.12	$368.21	$1,292.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $191.66 / $191.66 / $191.66	Facility		$191.66	$191.66	$191.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.12 / $102.75 / $102.75	Facility	AS	$47.12	$102.75	$102.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $308.72 / $507.41	Facility		$202.00	$308.72	$507.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $313.94 / $537.54	Facility		$202.00	$313.94	$537.54
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $80.94 / $80.94 / $80.94	Facility	80	$80.94	$80.94	$80.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $68.80 / $68.80 / $68.80	Facility	AS	$68.80	$68.80	$68.80
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00