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 / $13,803.84	Facility		$1,096.48	$3,890.45	$13,803.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $9,120.11 / $18,620.87	Facility		$5,128.61	$9,120.11	$18,620.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,388.44 / $3,388.44	Facility		$602.56	$3,388.44	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $33,884.42 / $33,884.42	Facility		$26,302.68	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	AS	$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $4,466.84	Facility		$630.96	$954.99	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,445.44	Facility		$630.96	$851.14	$1,445.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	AS	$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01