Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,630.78 / $11,748.98	Facility		$812.83	$3,630.78	$11,748.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $4,570.88	Facility		$1,380.38	$2,290.87	$4,570.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $501.19	Facility		$281.84	$281.84	$501.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	AS	$398.11	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $5,248.07	Facility		$524.81	$912.01	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,230.27	Facility		$501.19	$707.95	$1,230.27
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	AS	$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64