Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.00 / $3,766.00 / $13,004.00	Facility		$1,222.00	$3,766.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,390.66 / $2,347.65 / $7,818.91	Facility		$1,390.66	$2,347.65	$7,818.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,190.32 / $1,190.32 / $1,190.32	Facility		$1,190.32	$1,190.32	$1,190.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,360.32	Facility		$55.00	$55.00	$12,360.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,352.20 / $2,021.51 / $3,422.98	Facility		$1,352.20	$2,021.51	$3,422.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,352.20 / $2,095.59 / $3,432.40	Facility		$1,352.20	$2,095.59	$3,432.40
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $510.19 / $510.19 / $510.19	Facility	80	$510.19	$510.19	$510.19
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00