Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,601.00 / $12,040.00	Facility		$969.00	$3,601.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.14 / $1,673.85 / $6,013.46	Facility		$976.14	$1,673.85	$6,013.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $914.66 / $914.66 / $914.66	Facility		$914.66	$914.66	$914.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $9,092.64	Facility		$55.00	$55.00	$9,092.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $222.32 / $459.14 / $487.93	Facility	AS	$222.32	$459.14	$487.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $974.43 / $1,218.04 / $2,190.46	Facility		$974.43	$1,218.04	$2,190.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $974.43 / $1,248.38 / $2,400.98	Facility		$974.43	$1,248.38	$2,400.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $382.87 / $382.87 / $382.87	Facility	80	$382.87	$382.87	$382.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $325.44 / $325.44 / $325.44	Facility	AS	$325.44	$325.44	$325.44
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