Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $14,454.40	Facility		$1,174.90	$4,073.80	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $7,762.47	Facility		$1,905.46	$3,090.30	$7,762.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,698.24 / $1,737.80	Facility		$79.43	$1,698.24	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $5,011.87	Facility		$1,584.89	$2,290.87	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,890.45	Facility		$1,698.24	$2,238.72	$3,890.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $23,442.29	Facility		$4,570.88	$10,964.78	$23,442.29