Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $4,200.00 / $13,004.00	Facility		$1,093.00	$4,200.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.12 / $1,688.47 / $7,241.00	Facility		$1,010.12	$1,688.47	$7,241.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $307.27 / $307.27 / $913.68	Facility		$307.27	$307.27	$913.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,325.59 / $21,000.00	Facility		$55.00	$8,325.59	$21,000.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $229.84 / $464.74 / $500.32	Facility	AS	$229.84	$464.74	$500.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $989.33 / $1,286.13 / $2,223.33	Facility		$989.33	$1,286.13	$2,223.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $987.27 / $1,287.04 / $2,275.77	Facility		$987.27	$1,287.04	$2,275.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $386.21 / $386.21 / $386.21	Facility	80	$386.21	$386.21	$386.21
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $328.28 / $328.28 / $328.28	Facility	AS	$328.28	$328.28	$328.28
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