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 $1,421.57 / $2,469.40 / $12,355.85	Facility		$1,421.57	$2,469.40	$12,355.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,324.48 / $1,324.48 / $1,324.48	Facility		$1,324.48	$1,324.48	$1,324.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,012.91	Facility		$55.00	$55.00	$19,012.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $300.93 / $649.88 / $680.24	Facility	AS	$300.93	$649.88	$680.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,345.23 / $1,759.57 / $3,134.80	Facility		$1,345.23	$1,759.57	$3,134.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,345.23 / $1,778.61 / $3,281.70	Facility		$1,345.23	$1,778.61	$3,281.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $456.05 / $456.05 / $456.05	Facility	AS	$456.05	$456.05	$456.05
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