Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.00 / $3,742.00 / $13,004.00	Facility		$1,002.00	$3,742.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,676.95 / $6,802.36 / $14,110.30	Facility		$3,676.95	$6,802.36	$14,110.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $909.46 / $909.46 / $909.46	Facility		$909.46	$909.46	$909.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,856.55	Facility		$55.00	$55.00	$13,856.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.61 / $1,347.71 / $2,635.00	Facility		$1,040.61	$1,347.71	$2,635.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,040.61 / $1,368.25 / $2,784.44	Facility		$1,040.61	$1,368.25	$2,784.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,358.00 / $16,000.00	Facility		$2,608.00	$7,358.00	$16,000.00