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 $879.99 / $1,466.82 / $7,241.00	Facility		$879.99	$1,466.82	$7,241.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Facility		$742.34	$742.34	$742.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,644.88	Facility		$55.00	$55.00	$7,644.88
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.52 / $381.03 / $412.05	Facility	AS	$191.52	$381.03	$412.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $821.17 / $1,100.02 / $1,931.47	Facility		$821.17	$1,100.02	$1,931.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $821.77 / $1,100.02 / $2,121.21	Facility		$821.77	$1,100.02	$2,121.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $327.75 / $327.75 / $327.75	Facility	80	$327.75	$327.75	$327.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $278.58 / $278.58 / $278.58	Facility	AS	$278.58	$278.58	$278.58
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