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 $1,584.89 / $2,630.27 / $9,120.11	Facility		$1,584.89	$2,630.27	$9,120.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,412.54	Facility		$79.43	$1,348.96	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $23,442.29	Facility		$5,011.87	$5,011.87	$23,442.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,890.45	Facility		$1,348.96	$1,905.46	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,311.31	Facility		$1,380.38	$1,905.46	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,570.40 / $11,748.98	Facility		$446.68	$2,570.40	$11,748.98