Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $14,449.00	Facility		$983.00	$3,682.00	$14,449.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,561.29 / $4,259.82 / $9,625.04	Facility		$2,561.29	$4,259.82	$9,625.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,387.87 / $2,387.87 / $2,387.87	Facility		$2,387.87	$2,387.87	$2,387.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $34,405.80	Facility		$55.00	$55.00	$34,405.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $541.24 / $1,179.57 / $1,225.18	Facility	AS	$541.24	$1,179.57	$1,225.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,428.26 / $3,229.04 / $5,715.71	Facility		$2,428.26	$3,229.04	$5,715.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,428.26 / $3,296.87 / $5,917.78	Facility		$2,428.26	$3,296.87	$5,917.78
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $974.14 / $974.14 / $974.14	Facility	80	$974.14	$974.14	$974.14
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $828.02 / $828.02 / $828.02	Facility	AS	$828.02	$828.02	$828.02
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