Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $1,781.12 / $8,863.00	Facility		$1,049.00	$1,781.12	$8,863.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $944.89 / $944.89 / $944.89	Facility		$944.89	$944.89	$944.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,594.71	Facility		$55.00	$55.00	$9,594.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $1,373.11 / $2,316.55	Facility		$1,035.00	$1,373.11	$2,316.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,035.00 / $1,375.68 / $2,502.98	Facility		$1,035.00	$1,375.68	$2,502.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $397.39 / $397.39 / $397.39	Facility	80	$397.39	$397.39	$397.39
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