Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,730.00 / $13,004.00	Facility		$945.00	$3,730.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,520.23 / $3,520.23 / $3,520.23	Professional		$3,520.23	$3,520.23	$3,520.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,016.49 / $4,975.64 / $15,517.80	Facility		$3,016.49	$4,975.64	$15,517.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,520.23 / $3,520.23 / $5,632.37	Facility		$3,520.23	$3,520.23	$5,632.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,520.23 / $3,520.23 / $5,632.37	Facility		$3,520.23	$3,520.23	$5,632.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00