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 / $12,022.64	Facility		$1,000.00	$3,715.35	$12,022.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $12,589.25	Facility		$1,819.70	$3,090.30	$12,589.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,621.81 / $1,698.24	Facility		$79.43	$1,621.81	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $39,810.72 / $39,810.72	Facility		$5,011.87	$39,810.72	$39,810.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility	AS	$2,187.76	$2,187.76	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $4,168.69	Facility		$1,584.89	$2,238.72	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,890.45	Facility		$1,621.81	$2,238.72	$3,890.45
Providence Facility/Professional Facility Modifier 22 Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility	22	$3,630.78	$3,630.78	$3,630.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,378.01	Facility		$2,630.27	$8,128.31	$17,378.01