Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,682.00 / $12,281.00	Facility		$872.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.57 / $2,948.18 / $6,662.00	Facility		$1,549.57	$2,948.18	$6,662.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $99.30 / $103.70	Facility		$99.30	$99.30	$103.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,538.00 / $26,542.00 / $26,542.00	Facility		$2,538.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.80 / $307.69 / $634.80	Facility		$126.80	$307.69	$634.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.13 / $313.73 / $691.89	Facility		$127.13	$313.73	$691.89
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00