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 $1,326.82 / $2,239.00 / $9,631.00	Facility		$1,326.82	$2,239.00	$9,631.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,170.83 / $1,170.83 / $1,170.83	Facility		$1,170.83	$1,170.83	$1,170.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,067.36	Facility		$55.00	$55.00	$12,067.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,305.69 / $1,738.70 / $2,930.05	Facility		$1,305.69	$1,738.70	$2,930.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,305.69 / $1,738.70 / $3,142.06	Facility		$1,305.69	$1,738.70	$3,142.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $497.86 / $497.86 / $497.86	Facility	80	$497.86	$497.86	$497.86
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