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
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,038.62 / $6,038.62 / $14,671.75	Facility	50	$6,038.62	$6,038.62	$14,671.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.78 / $3,856.48 / $11,943.17	Facility		$2,289.78	$3,856.48	$11,943.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,138.19 / $2,138.19 / $2,138.19	Facility		$2,138.19	$2,138.19	$2,138.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,760.68	Facility		$55.00	$55.00	$30,760.68
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $483.84 / $1,054.68 / $1,095.82	Facility	AS	$483.84	$1,054.68	$1,095.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,110.87 / $2,799.77 / $5,109.84	Facility		$2,110.87	$2,799.77	$5,109.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,110.87 / $2,803.79 / $5,282.83	Facility		$2,110.87	$2,803.79	$5,282.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $869.55 / $869.55 / $869.55	Facility	80	$869.55	$869.55	$869.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $739.12 / $739.12 / $739.12	Facility	AS	$739.12	$739.12	$739.12
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