Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $12,022.64	Facility		$1,148.15	$4,265.80	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $9,332.54	Facility		$1,412.54	$2,398.83	$9,332.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $12,022.64	Facility		$2,818.38	$10,232.93	$12,022.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	AS	$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $7,079.46	Facility		$1,202.26	$2,137.96	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,019.95	Facility		$1,258.93	$1,778.28	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93