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 $1,197.88 / $2,026.20 / $4,549.39	Facility		$1,197.88	$2,026.20	$4,549.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,124.02 / $1,124.02 / $1,124.02	Facility		$1,124.02	$1,124.02	$1,124.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,546.48	Facility		$55.00	$55.00	$10,546.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.19 / $1,453.69 / $2,701.60	Facility		$1,126.19	$1,453.69	$2,701.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,126.63 / $1,462.96 / $2,765.32	Facility		$1,126.63	$1,462.96	$2,765.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,666.00 / $10,281.00 / $21,039.00	Facility		$4,666.00	$10,281.00	$21,039.00