Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $2,866.00 / $4,277.00	Facility		$1,845.00	$2,866.00	$4,277.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $167.52 / $167.52 / $167.52	Facility		$167.52	$167.52	$167.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.68 / $236.54 / $428.62	Facility		$173.68	$236.54	$428.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.68 / $243.81 / $431.61	Facility		$173.68	$243.81	$431.61
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00