Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $3,896.00 / $10,893.00	Facility		$1,071.00	$3,896.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.95 / $2,697.49 / $8,362.04	Facility		$1,599.95	$2,697.49	$8,362.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,502.47 / $1,502.47 / $1,502.47	Facility		$1,502.47	$1,502.47	$1,502.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $14,755.36	Facility		$55.00	$10,160.00	$14,755.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,581.79 / $2,055.73 / $3,551.98	Facility		$1,581.79	$2,055.73	$3,551.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,581.79 / $2,106.71 / $3,867.37	Facility		$1,581.79	$2,106.71	$3,867.37
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $616.58 / $616.58 / $616.58	Facility	80	$616.58	$616.58	$616.58
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