Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $157.41 / $1,101.91	Facility		$89.95	$157.41	$1,101.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $77.59 / $77.59	Facility		$77.59	$77.59	$77.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.79 / $111.72 / $200.73	Facility		$80.79	$111.72	$200.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.79 / $114.35 / $203.33	Facility		$80.79	$114.35	$203.33
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