Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $3,925.00 / $11,139.00	Facility		$1,071.00	$3,925.00	$11,139.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,205.72 / $2,034.66 / $6,897.42	Facility		$1,205.72	$2,034.66	$6,897.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,061.18 / $1,061.18 / $1,061.18	Facility		$1,061.18	$1,061.18	$1,061.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $10,929.04	Facility		$55.00	$10,160.00	$10,929.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $273.47 / $545.58 / $587.71	Facility	AS	$273.47	$545.58	$587.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,183.33 / $1,567.29 / $2,662.64	Facility		$1,183.33	$1,567.29	$2,662.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,183.33 / $1,579.50 / $2,851.09	Facility		$1,183.33	$1,579.50	$2,851.09
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $451.99 / $451.99 / $451.99	Facility	80	$451.99	$451.99	$451.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $384.19 / $384.19 / $384.19	Facility	AS	$384.19	$384.19	$384.19
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