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 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,913.55 / $3,343.89 / $16,731.47	Facility		$1,913.55	$3,343.89	$16,731.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,780.61 / $1,780.61 / $1,780.61	Facility		$1,780.61	$1,780.61	$1,780.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,619.52	Facility		$55.00	$55.00	$25,619.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $403.48 / $877.86 / $913.46	Facility	AS	$403.48	$877.86	$913.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,811.04 / $2,403.61 / $4,244.93	Facility		$1,811.04	$2,403.61	$4,244.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,811.04 / $2,416.34 / $4,345.06	Facility		$1,811.04	$2,416.34	$4,345.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $614.29 / $614.29 / $614.29	Facility	AS	$614.29	$614.29	$614.29
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