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 / $13,489.63	Facility		$1,000.00	$3,715.35	$13,489.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $8,912.51	Facility		$2,511.89	$4,466.84	$8,912.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,380.38 / $6,760.83	Facility		$645.65	$1,380.38	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $1,737.80	Facility		$489.78	$933.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78