Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $8,912.51	Facility		$707.95	$1,148.15	$8,912.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,791.08	Facility		$54.95	$56.23	$14,791.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	AS	$1,479.11	$1,479.11	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,290.87 / $8,511.38	Facility		$912.01	$2,290.87	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,949.84	Facility		$776.25	$1,000.00	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93