Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $13,489.63	Facility		$1,096.48	$3,715.35	$13,489.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $17,782.79 / $35,481.34	Facility		$8,128.31	$17,782.79	$35,481.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $16,595.87 / $16,595.87	Facility		$794.33	$16,595.87	$16,595.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $48,977.88	Facility		$33,884.42	$33,884.42	$48,977.88
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility	AS	$4,897.79	$4,897.79	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $4,466.84	Facility		$851.14	$1,202.26	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,862.09	Facility		$851.14	$1,122.02	$1,862.09
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	22	$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	AS	$151.36	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79