Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.85 / $3,682.00 / $10,836.00	Facility		$880.85	$3,682.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $905.65 / $1,492.78 / $7,742.42	Facility		$905.65	$1,492.78	$7,742.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $851.32 / $851.32 / $851.32	Facility		$851.32	$851.32	$851.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,056.16	Facility		$55.00	$55.00	$13,056.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $195.78 / $406.46 / $430.90	Facility	AS	$195.78	$406.46	$430.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $853.23 / $1,147.67 / $2,170.00	Facility		$853.23	$1,147.67	$2,170.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $853.23 / $1,160.76 / $2,275.67	Facility		$853.23	$1,160.76	$2,275.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $289.07 / $289.07 / $289.07	Facility	AS	$289.07	$289.07	$289.07
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