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 $2,187.76 / $3,715.35 / $12,589.25	Facility		$2,187.76	$3,715.35	$12,589.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,905.46 / $1,949.84	Facility		$79.43	$1,905.46	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,113.11	Facility		$54.95	$56.23	$33,113.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	AS	$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $5,495.41	Facility		$1,819.70	$2,754.23	$5,495.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,677.35	Facility		$1,995.26	$2,754.23	$4,677.35
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	AS	$354.81	$354.81	$354.81
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