Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $7,585.78	Facility		$630.96	$2,511.89	$7,585.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $3,311.31	Facility		$380.19	$660.69	$3,311.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $316.23 / $331.13	Facility		$79.43	$316.23	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,187.76	Facility		$54.95	$56.23	$2,187.76
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	62	$1,380.38	$1,380.38	$1,380.38
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $3,162.28	Facility		$338.84	$537.03	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $831.76	Facility		$331.13	$489.78	$831.76
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	22	$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	62	$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	AS	$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53