Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $13,803.84	Facility		$977.24	$3,715.35	$13,803.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $10,000.00	Facility		$1,513.56	$2,570.40	$10,000.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,445.44	Facility		$79.43	$1,412.54	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $15,135.61	Facility		$1,995.26	$1,995.26	$15,135.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	AS	$1,513.56	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $5,011.87	Facility		$1,288.25	$1,905.46	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,162.28	Facility		$1,380.38	$1,819.70	$3,162.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	AS	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79