Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,912.00 / $11,210.00	Facility		$975.00	$3,912.00	$11,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.64 / $7,341.00 / $14,452.79	Facility		$4,108.64	$7,341.00	$14,452.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $807.83 / $807.83 / $807.83	Facility		$807.83	$807.83	$807.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $13,486.75	Facility		$55.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $209.20 / $1,279.44 / $1,279.44	Facility	AS	$209.20	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $902.69 / $1,197.70 / $2,031.55	Facility		$902.69	$1,197.70	$2,031.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.69 / $1,205.74 / $2,171.59	Facility		$902.69	$1,205.74	$2,171.59
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $344.07 / $344.07 / $344.07	Facility	80	$344.07	$344.07	$344.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $292.45 / $292.45 / $292.45	Facility	AS	$292.45	$292.45	$292.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00