Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $3,611.00 / $12,281.00	Facility		$916.00	$3,611.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,673.52 / $6,578.17 / $12,900.05	Facility		$3,673.52	$6,578.17	$12,900.05
Christus Facility/Professional Facility Modifier Low / Median / High Price $682.81 / $1,249.59 / $1,249.59	Facility		$682.81	$1,249.59	$1,249.59
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 $745.79 / $971.85 / $1,639.61	Facility		$745.79	$971.85	$1,639.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $745.79 / $972.60 / $1,678.28	Facility		$745.79	$972.60	$1,678.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,313.00 / $10,600.00	Facility		$1,634.00	$4,313.00	$10,600.00