Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,818.38 / $7,413.10	Facility		$776.25	$2,818.38	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	50	$2,691.53	$2,691.53	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,786.30 / $8,709.64	Facility		$2,089.30	$4,786.30	$8,709.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,388.44 / $3,388.44	Facility		$218.78	$3,388.44	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,202.26 / $4,466.84	Facility		$257.04	$1,202.26	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $912.01 / $1,995.26	Facility		$239.88	$912.01	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64