Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,290.87 / $6,918.31	Facility		$575.44	$2,290.87	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $13,489.63	Facility		$177.83	$331.13	$13,489.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $158.49 / $158.49	Facility		$144.54	$158.49	$158.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $1,995.26	Facility		$1,288.25	$1,995.26	$1,995.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	AS	$102.33	$102.33	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $3,388.44	Facility		$158.49	$257.04	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $389.05	Facility		$151.36	$223.87	$389.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	AS	$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78