Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $12,882.50	Facility		$1,122.02	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $15,488.17	Facility		$2,818.38	$4,677.35	$15,488.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,290.87 / $2,344.23	Facility		$79.43	$2,290.87	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $27,542.29	Facility		$1,995.26	$1,995.26	$27,542.29
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility	62	$17,378.01	$17,378.01	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,467.37 / $6,165.95	Facility		$2,238.72	$3,467.37	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $6,025.60	Facility		$2,454.71	$3,630.78	$6,025.60
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	22	$5,495.41	$5,495.41	$5,495.41
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	62	$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38