Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.66 / $3,596.00 / $10,893.00	Facility		$920.66	$3,596.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.49 / $1,889.22 / $6,948.22	Facility		$1,126.49	$1,889.22	$6,948.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,070.83 / $1,070.83 / $1,070.83	Facility		$1,070.83	$1,070.83	$1,070.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,844.05	Facility		$55.00	$55.00	$13,844.05
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,499.43 / $3,220.63 / $3,388.65	Facility	62	$1,499.43	$3,220.63	$3,388.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.24 / $1,396.75 / $2,487.67	Facility		$1,066.24	$1,396.75	$2,487.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.24 / $1,413.23 / $2,613.19	Facility		$1,066.24	$1,413.23	$2,613.19
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,665.73 / $1,665.73 / $1,665.73	Facility	62	$1,665.73	$1,665.73	$1,665.73
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