Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $17,782.79	Facility		$1,096.48	$4,786.30	$17,782.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $6,918.31	Facility		$831.76	$1,412.54	$6,918.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $794.33	Facility		$602.56	$794.33	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility	52	$7,585.78	$7,585.78	$7,585.78
Lucent Health Facility/Professional Facility Modifier 53 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	53	$1,862.09	$1,862.09	$1,862.09
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility	62	$5,888.44	$5,888.44	$5,888.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $17,782.79	Facility		$954.99	$3,715.35	$17,782.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $1,862.09	Facility		$645.65	$954.99	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,803.84	Facility		$2,187.76	$6,606.93	$13,803.84