Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $7,585.78	Facility		$1,258.93	$2,137.96	$7,585.78
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	AS	$1,096.48	$1,096.48	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $4,265.80	Facility		$1,096.48	$1,698.24	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,691.53	Facility		$1,174.90	$1,584.89	$2,691.53
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