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 / $12,589.25	Facility		$1,000.00	$3,715.35	$12,589.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $9,120.11	Facility		$1,230.27	$2,089.30	$9,120.11
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 / $21,877.62	Facility		$54.95	$56.23	$21,877.62
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	AS	$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,584.89 / $5,128.61	Facility		$831.76	$1,584.89	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,454.71	Facility		$758.58	$1,318.26	$2,454.71
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