Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,570.00 / $10,836.00	Facility		$935.00	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,569.77 / $2,660.35 / $6,840.89	Facility		$1,569.77	$2,660.35	$6,840.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,444.72 / $1,444.72 / $1,444.72	Facility		$1,444.72	$1,444.72	$1,444.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,241.20	Facility		$55.00	$55.00	$21,241.20
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,116.04 / $4,521.58 / $4,748.78	Facility	62	$2,116.04	$4,521.58	$4,748.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,480.68 / $1,983.58 / $3,682.20	Facility		$1,480.68	$1,983.58	$3,682.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,480.68 / $2,001.44 / $3,682.20	Facility		$1,480.68	$2,001.44	$3,682.20
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,341.75 / $2,341.75 / $2,341.75	Facility	62	$2,341.75	$2,341.75	$2,341.75
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