Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $14,125.38	Facility		$1,096.48	$3,801.89	$14,125.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $18,620.87 / $36,307.81	Facility		$8,128.31	$18,620.87	$36,307.81
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $707.95 / $724.44	Facility		$79.43	$707.95	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $56,234.13	Facility		$33,884.42	$33,884.42	$56,234.13
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	AS	$5,623.41	$5,623.41	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $4,466.84	Facility		$758.58	$1,096.48	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,698.24	Facility		$758.58	$1,023.29	$1,698.24
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 $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79