Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.60 / $4,028.00 / $10,403.00	Facility		$1,114.60	$4,028.00	$10,403.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.87 / $2,217.05 / $7,172.00	Facility		$1,318.87	$2,217.05	$7,172.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,166.71 / $1,166.71 / $1,166.71	Facility		$1,166.71	$1,166.71	$1,166.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,647.32	Facility		$55.00	$55.00	$17,647.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $284.73 / $597.35 / $635.59	Facility	AS	$284.73	$597.35	$635.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,238.31 / $1,668.05 / $2,970.00	Facility		$1,238.31	$1,668.05	$2,970.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.31 / $1,686.30 / $3,090.39	Facility		$1,238.31	$1,686.30	$3,090.39
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $422.74 / $422.74 / $422.74	Facility	AS	$422.74	$422.74	$422.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,614.00 / $7,918.00 / $16,018.00	Facility		$2,614.00	$7,918.00	$16,018.00