Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,504.00 / $12,480.00	Facility		$1,093.00	$3,504.00	$12,480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,762.43 / $12,203.34 / $23,837.19	Facility		$5,762.43	$12,203.34	$23,837.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,170.54 / $1,170.54 / $1,170.54	Facility		$1,170.54	$1,170.54	$1,170.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,308.40	Facility		$55.00	$55.00	$16,308.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,227.17 / $1,597.29 / $2,943.53	Facility		$1,227.17	$1,597.29	$2,943.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.17 / $1,636.04 / $3,018.71	Facility		$1,227.17	$1,636.04	$3,018.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00