Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,203.37 / $3,812.74 / $19,077.41	Facility		$2,203.37	$3,812.74	$19,077.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,905.59 / $1,905.59 / $1,905.59	Facility		$1,905.59	$1,905.59	$1,905.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $22,236.21	Facility		$55.00	$55.00	$22,236.21
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,117.96 / $6,161.22 / $6,616.10	Facility	62	$3,117.96	$6,161.22	$6,616.10
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $498.87 / $985.80 / $1,058.58	Facility	AS	$498.87	$985.80	$1,058.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,147.48 / $2,852.89 / $5,164.47	Facility		$2,147.48	$2,852.89	$5,164.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,147.48 / $2,875.86 / $5,497.85	Facility		$2,147.48	$2,875.86	$5,497.85
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,196.94 / $3,196.94 / $3,196.94	Facility	62	$3,196.94	$3,196.94	$3,196.94
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $818.42 / $818.42 / $818.42	Facility	80	$818.42	$818.42	$818.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $695.65 / $695.65 / $695.65	Facility	AS	$695.65	$695.65	$695.65
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