Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $12,022.64	Facility		$891.25	$3,630.78	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $18,620.87	Facility		$5,495.41	$9,549.93	$18,620.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,760.83 / $6,760.83	Facility		$724.44	$6,760.83	$6,760.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $45,708.82 / $45,708.82	Facility		$26,915.35	$45,708.82	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	AS	$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $4,073.80	Facility		$758.58	$1,202.26	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,819.70	Facility		$758.58	$1,122.02	$1,819.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	AS	$138.04	$138.04	$138.04
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