Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,596.00 / $10,836.00	Facility		$828.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.08 / $1,323.38 / $6,844.98	Facility		$799.08	$1,323.38	$6,844.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $744.11 / $744.11 / $744.11	Facility		$744.11	$744.11	$744.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,475.10	Facility		$55.00	$55.00	$11,475.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.73 / $357.26 / $377.83	Facility	AS	$172.73	$357.26	$377.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.98 / $1,048.84 / $1,736.64	Facility		$748.98	$1,048.84	$1,736.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $748.98 / $1,055.08 / $1,931.36	Facility		$748.98	$1,055.08	$1,931.36
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $253.69 / $253.69 / $253.69	Facility	AS	$253.69	$253.69	$253.69
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