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 $1,197.65 / $2,004.23 / $5,480.00	Facility		$1,197.65	$2,004.23	$5,480.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,028.22 / $1,028.22 / $1,028.22	Facility		$1,028.22	$1,028.22	$1,028.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,645.28	Facility		$55.00	$55.00	$10,645.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.22 / $1,664.81 / $2,781.29	Facility		$1,143.22	$1,664.81	$2,781.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,143.22 / $1,688.59 / $2,951.01	Facility		$1,143.22	$1,688.59	$2,951.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $438.63 / $438.63 / $438.63	Facility	80	$438.63	$438.63	$438.63
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