Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $6,918.31	Facility		$575.44	$2,454.71	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $645.65 / $3,311.31	Facility		$380.19	$645.65	$3,311.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Facility		$190.55	$190.55	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,623.41	Facility		$5,011.87	$5,011.87	$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 / $3,311.31	Facility		$338.84	$537.03	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $794.33	Facility		$331.13	$478.63	$794.33
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	22	$741.31	$741.31	$741.31
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 / $27,542.29	Facility		$158.49	$1,047.13	$27,542.29