Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $3,853.24 / $10,234.00	Facility		$1,077.00	$3,853.24	$10,234.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,863.53 / $3,138.58 / $12,723.00	Facility		$1,863.53	$3,138.58	$12,723.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,737.61 / $1,737.61 / $1,737.61	Facility		$1,737.61	$1,737.61	$1,737.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $15,392.44	Facility		$55.00	$55.00	$15,392.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $436.12 / $881.80 / $950.04	Facility	AS	$436.12	$881.80	$950.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,746.87 / $2,170.73 / $4,158.60	Facility		$1,746.87	$2,170.73	$4,158.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,746.87 / $2,199.98 / $4,952.10	Facility		$1,746.87	$2,199.98	$4,952.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $626.53 / $626.53 / $626.53	Facility	AS	$626.53	$626.53	$626.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00