Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,596.00 / $10,836.00	Facility		$828.00	$3,596.00	$10,836.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.92 / $1,506.29 / $7,769.49	Facility		$893.92	$1,506.29	$7,769.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $872.36 / $872.36 / $872.36	Facility		$872.36	$872.36	$872.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,193.79	Facility		$55.00	$55.00	$10,193.79
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $194.66 / $417.06 / $441.93	Facility	AS	$194.66	$417.06	$441.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $841.81 / $1,118.50 / $1,971.20	Facility		$841.81	$1,118.50	$1,971.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $841.81 / $1,119.99 / $2,046.81	Facility		$841.81	$1,119.99	$2,046.81
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $290.49 / $290.49 / $290.49	Facility	AS	$290.49	$290.49	$290.49
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