Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,511.89 / $7,585.78	Facility		$575.44	$2,511.89	$7,585.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $645.65 / $1,905.46	Facility		$380.19	$645.65	$1,905.46
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 / $5,623.41	Facility		$54.95	$56.23	$5,623.41
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility	62	$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	AS	$562.34	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $537.03 / $3,548.13	Facility		$338.84	$537.03	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $812.83	Facility		$331.13	$478.63	$812.83
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	62	$380.19	$380.19	$380.19
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