Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.25 / $3,742.00 / $12,941.00	Facility		$822.25	$3,742.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,514.17 / $4,117.53 / $8,332.00	Facility		$2,514.17	$4,117.53	$8,332.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $215.92 / $215.92 / $215.92	Facility		$215.92	$215.92	$215.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,930.50 / $26,542.00 / $26,542.00	Facility		$3,930.50	$26,542.00	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $57.13 / $113.08 / $119.91	Facility	AS	$57.13	$113.08	$119.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $240.37 / $343.51 / $554.90	Facility		$240.37	$343.51	$554.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.37 / $347.45 / $638.42	Facility		$240.37	$347.45	$638.42
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $94.95 / $94.95 / $94.95	Facility	80	$94.95	$94.95	$94.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $80.70 / $80.70 / $80.70	Facility	AS	$80.70	$80.70	$80.70
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00