Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $14,454.40	Facility		$1,148.15	$4,073.80	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $35,481.34	Facility		$1,513.56	$2,818.38	$35,481.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,288.25 / $1,318.26	Facility		$79.43	$1,288.25	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Facility	52	$14,791.08	$14,791.08	$14,791.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	AS	$1,819.70	$1,819.70	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $5,011.87	Facility		$1,288.25	$1,949.84	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,235.94	Facility		$1,380.38	$1,905.46	$3,235.94
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility	22	$3,019.95	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	52	$1,995.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	AS	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $11,220.18 / $27,542.29	Facility		$4,677.35	$11,220.18	$27,542.29