Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,596.00 / $10,836.00	Facility		$872.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.72 / $1,459.19 / $5,944.19	Facility		$865.72	$1,459.19	$5,944.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $760.10 / $760.10 / $760.10	Facility		$760.10	$760.10	$760.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,841.80	Facility		$55.00	$55.00	$6,841.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $847.13 / $1,124.99 / $1,897.85	Facility		$847.13	$1,124.99	$1,897.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.13 / $1,125.78 / $2,177.00	Facility		$847.13	$1,125.78	$2,177.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00