Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,281.00	Facility		$945.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.52 / $6,706.32 / $12,814.62	Facility		$3,673.52	$6,706.32	$12,814.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $778.34 / $778.34 / $778.34	Facility		$778.34	$778.34	$778.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,899.50	Facility		$55.00	$55.00	$10,899.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $867.67 / $1,166.50 / $1,916.18	Facility		$867.67	$1,166.50	$1,916.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $867.67 / $1,174.46 / $2,191.90	Facility		$867.67	$1,174.46	$2,191.90
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