Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,890.45 / $14,454.40	Facility		$1,122.02	$3,890.45	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $10,471.29	Facility		$1,584.89	$2,691.53	$10,471.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,445.44 / $1,513.56	Facility		$79.43	$1,445.44	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	AS	$1,905.46	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $5,011.87	Facility		$1,380.38	$1,995.26	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,467.37	Facility		$1,445.44	$1,905.46	$3,467.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $29,512.09	Facility		$4,570.88	$10,964.78	$29,512.09