Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.59 / $3,570.00 / $10,836.00	Facility		$639.59	$3,570.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.57 / $865.30 / $4,353.00	Facility		$505.57	$865.30	$4,353.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $443.02 / $443.02	Facility		$443.02	$443.02	$443.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,321.66	Facility		$55.00	$55.00	$2,321.66
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $105.25 / $227.53 / $232.17	Facility	AS	$105.25	$227.53	$232.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $458.86 / $666.34 / $1,137.08	Facility		$458.86	$666.34	$1,137.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.86 / $686.99 / $1,279.43	Facility		$458.86	$686.99	$1,279.43
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $160.63 / $160.63 / $160.63	Facility	AS	$160.63	$160.63	$160.63
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