Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $14,454.40	Facility		$1,148.15	$4,073.80	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $9,549.93	Facility		$1,348.96	$2,290.87	$9,549.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,202.26 / $1,230.27	Facility		$79.43	$1,202.26	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $20,892.96	Facility		$5,011.87	$5,011.87	$20,892.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	AS	$2,089.30	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $4,786.30	Facility		$1,202.26	$1,737.80	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,818.38	Facility		$1,258.93	$1,659.59	$2,818.38
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $30,199.52	Facility		$4,570.88	$10,964.78	$30,199.52