Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,682.00 / $12,040.00	Facility		$923.00	$3,682.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,710.82 / $6,163.09 / $14,195.00	Facility		$3,710.82	$6,163.09	$14,195.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,398.86 / $3,398.86 / $3,398.86	Facility		$3,398.86	$3,398.86	$3,398.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $50,145.00	Facility		$55.00	$55.00	$50,145.00
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $4,982.17 / $10,707.40 / $11,142.67	Facility	62	$4,982.17	$10,707.40	$11,142.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,537.99 / $4,690.57 / $8,430.29	Facility		$3,537.99	$4,690.57	$8,430.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,537.99 / $4,725.89 / $8,629.11	Facility		$3,537.99	$4,725.89	$8,629.11
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $5,563.28 / $5,563.28 / $5,563.28	Facility	62	$5,563.28	$5,563.28	$5,563.28
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