Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $9,549.93 / $18,197.01	Facility		$4,677.35	$9,549.93	$18,197.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $691.83 / $707.95	Facility		$79.43	$691.83	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $33,884.42 / $33,884.42	Facility		$19,952.62	$33,884.42	$33,884.42
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility	AS	$1,995.26	$1,995.26	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $4,265.80	Facility		$741.31	$1,071.52	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,659.59	Facility		$741.31	$1,000.00	$1,659.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $131.83 / $131.83	Facility	AS	$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18