Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,265.80 / $14,454.40	Facility		$1,122.02	$4,265.80	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $8,709.64	Facility		$2,570.40	$4,466.84	$8,709.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $776.25 / $776.25	Facility		$79.43	$776.25	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $33,884.42 / $33,884.42	Facility		$11,481.54	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	AS	$1,148.15	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $5,011.87	Facility		$812.83	$1,174.90	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,737.80	Facility		$794.33	$1,071.52	$1,737.80
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 $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78