Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.10 / $1,913.80 / $8,588.49	Facility		$1,134.10	$1,913.80	$8,588.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,043.89 / $1,043.89 / $1,043.89	Facility		$1,043.89	$1,043.89	$1,043.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,526.38	Facility		$55.00	$55.00	$16,526.38
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $250.23 / $513.94 / $543.09	Facility	AS	$250.23	$513.94	$543.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.33 / $1,490.46 / $2,504.48	Facility		$1,078.33	$1,490.46	$2,504.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,078.33 / $1,490.46 / $2,563.55	Facility		$1,078.33	$1,490.46	$2,563.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $364.43 / $364.43 / $364.43	Facility	AS	$364.43	$364.43	$364.43
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