Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $3,925.00 / $10,893.00	Facility		$1,198.00	$3,925.00	$10,893.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.25 / $3,174.90 / $10,822.69	Facility		$1,865.25	$3,174.90	$10,822.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,690.72 / $1,690.72 / $1,690.72	Facility		$1,690.72	$1,690.72	$1,690.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,650.00 / $19,265.66	Facility		$5,897.00	$12,650.00	$19,265.66
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $3,397.26 / $6,866.68 / $7,402.14	Facility	52	$3,397.26	$6,866.68	$7,402.14
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $424.66 / $858.34 / $925.27	Facility	AS	$424.66	$858.34	$925.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,787.56 / $2,323.83 / $4,206.74	Facility		$1,787.56	$2,323.83	$4,206.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,787.56 / $2,375.39 / $4,824.24	Facility		$1,787.56	$2,375.39	$4,824.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $609.27 / $609.27 / $609.27	Facility	AS	$609.27	$609.27	$609.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00