Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.54 / $1,913.86 / $1,973.66	Facility		$1,479.54	$1,913.86	$1,973.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.73 / $2,343.94 / $24,834.89	Facility		$1,301.73	$2,343.94	$24,834.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,170.05	Facility		$55.00	$55.00	$7,170.05
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $283.10 / $576.61 / $625.69	Facility	AS	$283.10	$576.61	$625.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,220.08 / $1,583.79 / $2,582.30	Facility		$1,220.08	$1,583.79	$2,582.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,244.72 / $1,615.07 / $2,588.87	Facility		$1,244.72	$1,615.07	$2,588.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $406.03 / $406.03 / $406.03	Facility	AS	$406.03	$406.03	$406.03