Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $14,125.38	Facility		$1,122.02	$4,073.80	$14,125.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $5,888.44	Facility		$977.24	$1,659.59	$5,888.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AS	$870.96	$870.96	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,445.44 / $6,456.54	Facility		$891.25	$1,445.44	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,089.30	Facility		$870.96	$1,148.15	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $10,964.78	Facility		$1,698.24	$5,248.07	$10,964.78