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 $2,171.16 / $3,695.60 / $11,179.19	Facility		$2,171.16	$3,695.60	$11,179.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $329.35 / $329.35 / $2,093.33	Facility		$329.35	$329.35	$2,093.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,813.52	Facility		$55.00	$55.00	$29,813.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $470.47 / $1,020.61 / $1,067.11	Facility	AS	$470.47	$1,020.61	$1,067.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,091.92 / $2,744.57 / $4,923.89	Facility		$2,091.92	$2,744.57	$4,923.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,091.92 / $2,791.09 / $5,123.34	Facility		$2,091.92	$2,791.09	$5,123.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $840.26 / $840.26 / $840.26	Facility	80	$840.26	$840.26	$840.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $714.22 / $714.22 / $714.22	Facility	AS	$714.22	$714.22	$714.22
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00