Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,981.07 / $14,454.40	Facility		$1,096.48	$3,981.07	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $10,471.29	Facility		$1,380.38	$2,344.23	$10,471.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,412.54	Facility		$1,202.26	$1,412.54	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	AS	$1,071.52	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $4,897.79	Facility		$1,202.26	$1,778.28	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,951.21	Facility		$1,258.93	$1,698.24	$2,951.21
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility	22	$2,754.23	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	AS	$229.09	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,803.84	Facility		$2,187.76	$6,918.31	$13,803.84