Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,467.37 / $12,022.64	Facility		$933.25	$3,467.37	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $18,620.87 / $35,481.34	Facility		$7,585.78	$18,620.87	$35,481.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $14,125.38 / $14,125.38	Facility		$1,023.29	$14,125.38	$14,125.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $47,863.01	Facility		$45,708.82	$45,708.82	$47,863.01
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	AS	$4,786.30	$4,786.30	$4,786.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,348.96 / $4,073.80	Facility		$602.56	$1,348.96	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,230.27 / $2,290.87	Facility		$537.03	$1,230.27	$2,290.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18