Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,281.00	Facility		$1,086.00	$3,682.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,521.38 / $2,612.61 / $5,793.18	Facility		$1,521.38	$2,612.61	$5,793.18
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,425.47 / $1,425.47 / $1,457.72	Facility		$1,425.47	$1,425.47	$1,457.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,389.88 / $1,811.14 / $2,464.38	Facility		$1,389.88	$1,811.14	$2,464.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,421.84 / $1,811.34 / $2,537.06	Facility		$1,421.84	$1,811.34	$2,537.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00