Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,500.00 / $13,401.00	Facility		$425.00	$2,500.00	$13,401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $9,564.00 / $14,543.00	Facility		$1,845.00	$9,564.00	$14,543.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $192.53 / $192.53 / $192.53	Facility		$192.53	$192.53	$192.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.96 / $99.16 / $101.32	Facility	AS	$45.96	$99.16	$101.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.92 / $282.27 / $488.98	Facility		$206.92	$282.27	$488.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.88 / $286.49 / $576.25	Facility		$205.88	$286.49	$576.25
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $82.23 / $82.23 / $82.23	Facility	80	$82.23	$82.23	$82.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $69.89 / $69.89 / $69.89	Facility	AS	$69.89	$69.89	$69.89
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $949.00 / $2,287.00	Facility		$157.00	$949.00	$2,287.00