Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.11 / $2,686.35 / $8,855.75	Facility		$1,615.11	$2,686.35	$8,855.75
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,395.88 / $1,395.88 / $1,395.88	Facility		$1,395.88	$1,395.88	$1,395.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $21,067.08	Facility		$55.00	$55.00	$21,067.08
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,146.05 / $4,433.60 / $4,762.79	Facility	62	$2,146.05	$4,433.60	$4,762.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,475.82 / $2,037.46 / $3,493.91	Facility		$1,475.82	$2,037.46	$3,493.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,475.82 / $2,083.67 / $3,722.25	Facility		$1,475.82	$2,083.67	$3,722.25
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,343.76 / $2,343.76 / $2,343.76	Facility	62	$2,343.76	$2,343.76	$2,343.76
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