Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,792.00 / $13,004.00	Facility		$983.00	$3,792.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.48 / $1,571.89 / $5,821.21	Facility		$923.48	$1,571.89	$5,821.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $875.77 / $875.77 / $875.77	Facility		$875.77	$875.77	$875.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $8,768.24	Facility		$55.00	$55.00	$8,768.24
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.94 / $439.01 / $478.33	Facility	AS	$217.94	$439.01	$478.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $900.45 / $1,135.34 / $2,082.75	Facility		$900.45	$1,135.34	$2,082.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $904.55 / $1,168.41 / $2,183.71	Facility		$904.55	$1,168.41	$2,183.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $312.23 / $312.23 / $312.23	Facility	AS	$312.23	$312.23	$312.23
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