Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $12,589.25	Facility		$1,202.26	$4,265.80	$12,589.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,549.93 / $18,620.87	Facility		$5,370.32	$9,549.93	$18,620.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $741.31 / $758.58	Facility		$79.43	$741.31	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $50,118.72 / $50,118.72	Facility		$19,952.62	$50,118.72	$50,118.72
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 $776.25 / $1,174.90 / $5,888.44	Facility		$776.25	$1,174.90	$5,888.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,778.28	Facility		$776.25	$1,023.29	$1,778.28
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	AS	$138.04	$138.04	$138.04
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