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 $1,819.70 / $3,090.30 / $9,120.11	Facility		$1,819.70	$3,090.30	$9,120.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,379.62	Facility		$54.95	$56.23	$21,379.62
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility	62	$13,489.63	$13,489.63	$13,489.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,511.89 / $6,918.31	Facility		$1,096.48	$2,511.89	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $4,168.69	Facility		$1,445.44	$2,344.23	$4,168.69
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