Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,511.00 / $12,040.00	Facility		$969.00	$3,511.00	$12,040.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,531.91 / $2,607.50 / $9,761.84	Facility		$1,531.91	$2,607.50	$9,761.84
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,350.25 / $1,350.25 / $1,350.25	Facility		$1,350.25	$1,350.25	$1,350.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $10,662.06	Facility		$5,897.00	$5,897.00	$10,662.06
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $352.09 / $713.16 / $776.01	Facility	AS	$352.09	$713.16	$776.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,446.89 / $1,893.11 / $3,448.36	Facility		$1,446.89	$1,893.11	$3,448.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,458.18 / $1,906.98 / $3,449.68	Facility		$1,458.18	$1,906.98	$3,449.68
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $503.01 / $503.01 / $503.01	Facility	AS	$503.01	$503.01	$503.01
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,205.00 / $19,489.00	Facility		$385.00	$2,205.00	$19,489.00