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 / $5,495.41	Facility		$1,288.25	$2,187.76	$5,495.41
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 / $12,022.64	Facility		$54.95	$56.23	$12,022.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	AS	$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $6,918.31	Facility		$1,047.13	$1,995.26	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,884.03	Facility		$1,174.90	$1,621.81	$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