Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,890.45 / $12,882.50	Facility		$1,096.48	$3,890.45	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,620.87 / $42,657.95	Facility		$9,772.37	$18,620.87	$42,657.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $12,022.64 / $12,022.64	Facility		$1,412.54	$12,022.64	$12,022.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $44,668.36 / $50,118.72	Facility		$54.95	$44,668.36	$50,118.72
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $39,810.72 / $39,810.72 / $39,810.72	Facility	52	$39,810.72	$39,810.72	$39,810.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	AS	$5,011.87	$5,011.87	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $6,918.31	Facility		$1,288.25	$2,187.76	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,630.78	Facility		$1,445.44	$1,949.84	$3,630.78
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	22	$3,311.31	$3,311.31	$3,311.31
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	52	$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	AS	$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,244.36 / $31,622.78	Facility		$2,187.76	$7,244.36	$31,622.78