Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,596.00 / $12,040.00	Facility		$828.00	$3,596.00	$12,040.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,126.36 / $2,208.00 / $3,069.15	Facility	50	$2,126.36	$2,208.00	$3,069.15
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 $160.25 / $160.25 / $167.06	Facility		$160.25	$160.25	$167.06
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 $204.69 / $340.64 / $695.12	Facility		$204.69	$340.64	$695.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.13 / $341.40 / $746.58	Facility		$205.13	$341.40	$746.58
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00