Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,596.00 / $12,281.00	Facility		$983.00	$3,596.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,171.46 / $7,346.00 / $14,551.59	Facility		$4,171.46	$7,346.00	$14,551.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $926.23 / $4,914.88 / $4,914.88	Facility		$926.23	$4,914.88	$4,914.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $13,960.05	Facility		$5,897.00	$5,897.00	$13,960.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $235.98 / $1,324.34 / $1,324.34	Facility	AS	$235.98	$1,324.34	$1,324.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,021.43 / $1,372.38 / $2,326.46	Facility		$1,021.43	$1,372.38	$2,326.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,021.43 / $1,384.32 / $2,381.34	Facility		$1,021.43	$1,384.32	$2,381.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $402.27 / $402.27 / $402.27	Facility	80	$402.27	$402.27	$402.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $341.93 / $341.93 / $341.93	Facility	AS	$341.93	$341.93	$341.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $6,591.00 / $13,134.00	Facility		$2,182.00	$6,591.00	$13,134.00