Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,570.00 / $12,040.00	Facility		$969.00	$3,570.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,543.39 / $2,572.32 / $11,687.98	Facility		$1,543.39	$2,572.32	$11,687.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,363.95 / $1,363.95 / $1,363.95	Facility		$1,363.95	$1,363.95	$1,363.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $20,604.48	Facility		$55.00	$55.00	$20,604.48
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,076.85 / $4,359.80 / $4,622.05	Facility	62	$2,076.85	$4,359.80	$4,622.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,447.51 / $1,918.75 / $3,408.32	Facility		$1,447.51	$1,918.75	$3,408.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,447.51 / $1,943.40 / $3,595.74	Facility		$1,447.51	$1,943.40	$3,595.74
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,258.44 / $2,258.44 / $2,258.44	Facility	62	$2,258.44	$2,258.44	$2,258.44
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