Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.00 / $3,766.00 / $13,004.00	Facility		$1,222.00	$3,766.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,345.24 / $2,304.09 / $7,790.53	Facility		$1,345.24	$2,304.09	$7,790.53
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,229.35 / $1,229.35 / $1,229.35	Facility		$1,229.35	$1,229.35	$1,229.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,837.50	Facility		$55.00	$55.00	$13,837.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,309.83 / $1,737.85 / $3,033.95	Facility		$1,309.83	$1,737.85	$3,033.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,309.83 / $1,738.01 / $3,105.51	Facility		$1,309.83	$1,738.01	$3,105.51
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