Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $3,570.00 / $10,836.00	Facility		$413.61	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $453.63 / $2,339.85	Facility		$266.02	$453.63	$2,339.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $234.72 / $234.72 / $234.72	Facility		$234.72	$234.72	$234.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,922.50	Facility		$55.00	$55.00	$2,922.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $58.84 / $120.05 / $125.10	Facility	AS	$58.84	$120.05	$125.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.33 / $349.54 / $694.24	Facility		$253.33	$349.54	$694.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.33 / $350.97 / $694.24	Facility		$253.33	$350.97	$694.24
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $101.37 / $101.37 / $101.37	Facility	80	$101.37	$101.37	$101.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $86.17 / $86.17 / $86.17	Facility	AS	$86.17	$86.17	$86.17
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