Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,549.93 / $18,620.87	Facility		$5,370.32	$9,549.93	$18,620.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $758.58 / $758.58	Facility		$79.43	$758.58	$758.58
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 $794.33 / $1,148.15 / $4,073.80	Facility		$794.33	$1,148.15	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,819.70	Facility		$794.33	$1,071.52	$1,819.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	AS	$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38