Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $14,454.40	Facility		$1,122.02	$4,073.80	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $27,542.29	Facility		$1,174.90	$2,137.96	$27,542.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,023.29	Facility		$79.43	$1,000.00	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,120.11	Facility		$54.95	$56.23	$9,120.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	AS	$912.01	$912.01	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $4,677.35	Facility		$1,047.13	$1,513.56	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,511.89	Facility		$1,071.52	$1,412.54	$2,511.89
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79