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 $1,288.25 / $2,187.76 / $5,370.32	Facility		$1,288.25	$2,187.76	$5,370.32
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	AS	$1,230.27	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $5,248.07	Facility		$1,096.48	$1,949.84	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,884.03	Facility		$1,258.93	$1,698.24	$2,884.03
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