Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,890.45 / $11,481.54	Facility		$1,202.26	$3,890.45	$11,481.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,332.54 / $18,197.01	Facility		$5,370.32	$9,332.54	$18,197.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,585.78 / $7,585.78	Facility		$891.25	$7,585.78	$7,585.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $19,952.62	Facility		$1,412.54	$1,412.54	$19,952.62
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 $933.25 / $1,698.24 / $7,079.46	Facility		$933.25	$1,698.24	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,290.87	Facility		$912.01	$1,258.93	$2,290.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	AS	$169.82	$169.82	$169.82
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