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 $977.24 / $1,659.59 / $7,762.47	Facility		$977.24	$1,659.59	$7,762.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $891.25 / $933.25	Facility		$79.43	$891.25	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,772.37	Facility		$54.95	$56.23	$9,772.37
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	AS	$977.24	$977.24	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $3,548.13	Facility		$870.96	$1,174.90	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,187.76	Facility		$870.96	$1,174.90	$2,187.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $162.18 / $162.18 / $162.18	Facility	AS	$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,232.93	Facility		$446.68	$2,511.89	$10,232.93