Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,562.00 / $7,542.00	Facility		$652.00	$2,562.00	$7,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.04 / $1,017.73 / $3,937.00	Facility		$601.04	$1,017.73	$3,937.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $618.08 / $618.08 / $618.08	Facility		$618.08	$618.08	$618.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,692.41	Facility		$55.00	$55.00	$7,692.41
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.00 / $285.66 / $305.79	Facility	AS	$134.00	$285.66	$305.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.26 / $719.51 / $1,340.12	Facility		$559.26	$719.51	$1,340.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.53 / $736.09 / $1,373.87	Facility		$559.53	$736.09	$1,373.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $198.65 / $198.65 / $198.65	Facility	AS	$198.65	$198.65	$198.65
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,064.00 / $4,509.00	Facility		$564.00	$2,064.00	$4,509.00