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 $1,023.29 / $4,365.16 / $19,054.61	Facility		$1,023.29	$4,365.16	$19,054.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $295.12 / $309.03	Facility		$79.43	$295.12	$309.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,248.07	Facility		$5,011.87	$5,011.87	$5,248.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,071.52 / $5,248.07	Facility		$338.84	$1,071.52	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $741.31	Facility		$295.12	$389.05	$741.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	AS	$57.54	$57.54	$57.54
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