Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.03 / $3,596.00 / $10,836.00	Facility		$803.03	$3,596.00	$10,836.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $362.68 / $401.52 / $575.44	Facility	52	$362.68	$401.52	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.50 / $1,260.50 / $3,972.90	Facility		$748.50	$1,260.50	$3,972.90
Christus Facility/Professional Facility Modifier Low / Median / High Price $696.02 / $696.02 / $696.02	Facility		$696.02	$696.02	$696.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,844.48 / $9,102.00 / $11,500.00	Facility		$6,844.48	$9,102.00	$11,500.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,336.74 / $2,767.26 / $2,944.24	Facility	52	$1,336.74	$2,767.26	$2,944.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $733.69 / $935.09 / $1,670.16	Facility		$733.69	$935.09	$1,670.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.69 / $947.38 / $1,806.82	Facility		$733.69	$947.38	$1,806.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $288.18 / $288.18 / $288.18	Facility	80	$288.18	$288.18	$288.18
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