Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,570.00 / $10,836.00	Facility		$935.00	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,265.96 / $2,223.23 / $11,124.18	Facility		$1,265.96	$2,223.23	$11,124.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,227.48 / $1,227.48 / $1,227.48	Facility		$1,227.48	$1,227.48	$1,227.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,427.80	Facility		$55.00	$55.00	$14,427.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,204.19 / $1,590.33 / $2,822.31	Facility		$1,204.19	$1,590.33	$2,822.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,204.19 / $1,620.05 / $2,888.88	Facility		$1,204.19	$1,620.05	$2,888.88
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