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 $5,128.61 / $9,549.93 / $18,197.01	Facility		$5,128.61	$9,549.93	$18,197.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $602.56 / $602.56	Facility		$79.43	$602.56	$602.56
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 / $912.01 / $4,168.69	Facility		$630.96	$912.01	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,348.96	Facility		$616.60	$812.83	$1,348.96
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 $2,187.76 / $6,918.31 / $14,125.38	Facility		$2,187.76	$6,918.31	$14,125.38