Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.81 / $3,682.00 / $12,941.00	Facility		$944.81	$3,682.00	$12,941.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.29 / $1,925.79 / $8,695.94	Facility		$1,148.29	$1,925.79	$8,695.94
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,081.28 / $1,081.28 / $1,081.28	Facility		$1,081.28	$1,081.28	$1,081.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,987.40	Facility		$55.00	$55.00	$12,987.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $247.81 / $531.50 / $559.96	Facility	AS	$247.81	$531.50	$559.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,099.67 / $1,429.57 / $2,681.75	Facility		$1,099.67	$1,429.57	$2,681.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.67 / $1,456.52 / $2,681.75	Facility		$1,099.67	$1,456.52	$2,681.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $370.65 / $370.65 / $370.65	Facility	AS	$370.65	$370.65	$370.65
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00