Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,354.39 / $2,319.75 / $7,915.21	Facility		$1,354.39	$2,319.75	$7,915.21
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,232.94 / $1,232.94 / $1,232.94	Facility		$1,232.94	$1,232.94	$1,232.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,949.82	Facility		$55.00	$55.00	$13,949.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $307.42 / $621.57 / $670.20	Facility	AS	$307.42	$621.57	$670.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.41 / $1,752.62 / $3,054.58	Facility		$1,320.41	$1,752.62	$3,054.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,320.41 / $1,782.48 / $3,488.18	Facility		$1,320.41	$1,782.48	$3,488.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $439.78 / $439.78 / $439.78	Facility	AS	$439.78	$439.78	$439.78
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