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 $1,737.80 / $2,951.21 / $10,471.29	Facility		$1,737.80	$2,951.21	$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 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	AS	$1,698.24	$1,698.24	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $5,011.87	Facility		$1,479.11	$2,137.96	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,630.78	Facility		$1,548.82	$2,041.74	$3,630.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	AS	$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $23,988.33	Facility		$4,570.88	$10,964.78	$23,988.33