Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.75 / $3,682.00 / $11,210.00	Facility		$941.75	$3,682.00	$11,210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,162.10 / $7,298.90 / $14,597.80	Facility		$4,162.10	$7,298.90	$14,597.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $659.64 / $659.64 / $659.64	Facility		$659.64	$659.64	$659.64
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 $169.99 / $1,279.44 / $1,279.44	Facility	AS	$169.99	$1,279.44	$1,279.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $735.63 / $1,003.60 / $1,652.60	Facility		$735.63	$1,003.60	$1,652.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.63 / $1,010.57 / $1,770.44	Facility		$735.63	$1,010.57	$1,770.44
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $280.47 / $280.47 / $280.47	Facility	80	$280.47	$280.47	$280.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $238.40 / $238.40 / $238.40	Facility	AS	$238.40	$238.40	$238.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,350.00 / $16,000.00	Facility		$2,608.00	$7,350.00	$16,000.00