Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $13,489.63	Facility		$1,096.48	$3,890.45	$13,489.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $10,471.29	Facility		$1,659.59	$2,884.03	$10,471.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,513.56 / $1,548.82	Facility		$79.43	$1,513.56	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,417.38	Facility		$54.95	$56.23	$20,417.38
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility	AS	$2,041.74	$2,041.74	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $4,677.35	Facility		$1,412.54	$2,137.96	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,548.13	Facility		$1,548.82	$2,089.30	$3,548.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	AS	$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01