Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,715.35 / $13,489.63	Facility		$1,047.13	$3,715.35	$13,489.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,549.93 / $17,782.79	Facility		$4,265.80	$9,549.93	$17,782.79
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $676.08 / $691.83	Facility		$79.43	$676.08	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $4,265.80	Facility		$724.44	$1,047.13	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,659.59	Facility		$724.44	$977.24	$1,659.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	AS	$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18