Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,467.37 / $12,022.64	Facility		$954.99	$3,467.37	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,332.54 / $19,054.61	Facility		$5,623.41	$9,332.54	$19,054.61
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,073.80 / $4,073.80	Facility		$1,023.29	$4,073.80	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $45,708.82 / $45,708.82	Facility		$26,302.68	$45,708.82	$45,708.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	AS	$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $4,365.16	Facility		$1,023.29	$1,584.89	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,454.71	Facility		$1,071.52	$1,479.11	$2,454.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01