Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,836.00	Facility		$969.00	$3,682.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,774.85 / $4,585.92 / $10,427.86	Facility		$2,774.85	$4,585.92	$10,427.86
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,601.85 / $2,601.85 / $2,601.85	Facility		$2,601.85	$2,601.85	$2,601.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $37,349.28	Facility		$55.00	$55.00	$37,349.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $588.07 / $1,279.93 / $1,331.79	Facility	AS	$588.07	$1,279.93	$1,331.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,640.31 / $3,504.31 / $6,191.69	Facility		$2,640.31	$3,504.31	$6,191.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,640.31 / $3,513.45 / $6,337.72	Facility		$2,640.31	$3,513.45	$6,337.72
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,056.49 / $1,056.49 / $1,056.49	Facility	80	$1,056.49	$1,056.49	$1,056.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $898.02 / $898.02 / $898.02	Facility	AS	$898.02	$898.02	$898.02
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