Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $12,882.50	Facility		$1,000.00	$3,890.45	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,120.11 / $18,197.01	Facility		$5,248.07	$9,120.11	$18,197.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $707.95 / $707.95	Facility		$79.43	$707.95	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $42,657.95 / $42,657.95	Facility		$26,302.68	$42,657.95	$42,657.95
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 $707.95 / $1,000.00 / $4,570.88	Facility		$707.95	$1,000.00	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $912.01 / $1,513.56	Facility		$691.83	$912.01	$1,513.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	AS	$123.03	$123.03	$123.03
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