Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $10,836.00	Facility		$969.00	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,194.16 / $2,045.31 / $7,393.61	Facility		$1,194.16	$2,045.31	$7,393.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,095.66 / $1,095.66 / $1,095.66	Facility		$1,095.66	$1,095.66	$1,095.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,964.16	Facility		$55.00	$55.00	$10,964.16
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $270.76 / $550.73 / $590.08	Facility	AS	$270.76	$550.73	$590.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.57 / $1,539.37 / $2,693.21	Facility		$1,182.57	$1,539.37	$2,693.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,182.57 / $1,588.53 / $2,867.22	Facility		$1,182.57	$1,588.53	$2,867.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $455.59 / $455.59 / $455.59	Facility	80	$455.59	$455.59	$455.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $387.25 / $387.25 / $387.25	Facility	AS	$387.25	$387.25	$387.25
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