Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.78 / $4,185.00 / $14,989.04	Facility		$1,289.78	$4,185.00	$14,989.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.35 / $2,245.50 / $9,439.00	Facility		$1,341.35	$2,245.50	$9,439.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,168.42 / $1,168.42 / $1,168.42	Facility		$1,168.42	$1,168.42	$1,168.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $12,097.52	Facility		$55.00	$10,160.00	$12,097.52
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $304.87 / $603.26 / $648.67	Facility	AS	$304.87	$603.26	$648.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,312.79 / $1,770.11 / $2,962.15	Facility		$1,312.79	$1,770.11	$2,962.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,312.79 / $1,773.21 / $3,157.27	Facility		$1,312.79	$1,773.21	$3,157.27
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $500.30 / $500.30 / $500.30	Facility	80	$500.30	$500.30	$500.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $425.26 / $425.26 / $425.26	Facility	AS	$425.26	$425.26	$425.26
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,923.00	Facility		$385.00	$2,064.00	$8,923.00