Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,890.45 / $14,454.40	Facility		$1,202.26	$3,890.45	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $37,153.52	Facility		$1,584.89	$2,884.03	$37,153.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,380.38	Facility		$79.43	$1,348.96	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility	52	$15,135.61	$15,135.61	$15,135.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	AS	$1,905.46	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $4,897.79	Facility		$1,348.96	$2,041.74	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,388.44	Facility		$1,412.54	$1,995.26	$3,388.44
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	22	$3,090.30	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	52	$2,089.30	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	AS	$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $27,542.29	Facility		$4,570.88	$10,964.78	$27,542.29