Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,318.26 / $3,311.31	Facility		$794.33	$1,318.26	$3,311.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $13,489.63 / $13,489.63	Facility		$6,918.31	$13,489.63	$13,489.63
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	52	$5,495.41	$5,495.41	$5,495.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $4,073.80	Facility		$724.44	$1,047.13	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $1,659.59	Facility		$724.44	$954.99	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93