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 $1,283.91 / $2,153.23 / $7,878.86	Facility		$1,283.91	$2,153.23	$7,878.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $387.88 / $387.88 / $1,124.46	Facility		$387.88	$387.88	$1,124.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,592.96	Facility		$55.00	$55.00	$11,592.96
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,821.13 / $3,618.02 / $3,884.04	Facility	62	$1,821.13	$3,618.02	$3,884.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $291.38 / $578.88 / $621.45	Facility	AS	$291.38	$578.88	$621.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.71 / $1,693.51 / $2,835.31	Facility		$1,257.71	$1,693.51	$2,835.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.71 / $1,701.61 / $3,230.75	Facility		$1,257.71	$1,701.61	$3,230.75
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,877.01 / $1,877.01 / $1,877.01	Facility	62	$1,877.01	$1,877.01	$1,877.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $480.52 / $480.52 / $480.52	Facility	80	$480.52	$480.52	$480.52
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $408.44 / $408.44 / $408.44	Facility	AS	$408.44	$408.44	$408.44
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