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 $2,187.76 / $3,715.35 / $11,748.98	Facility		$2,187.76	$3,715.35	$11,748.98
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,703.96	Facility		$54.95	$56.23	$25,703.96
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility	AS	$2,570.40	$2,570.40	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $5,248.07	Facility		$1,819.70	$2,570.40	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,677.35	Facility		$1,949.84	$2,511.89	$4,677.35
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