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 $1,148.15 / $1,949.84 / $8,317.64	Facility		$1,148.15	$1,949.84	$8,317.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,047.13 / $1,096.48	Facility		$79.43	$1,047.13	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,481.54	Facility		$54.95	$56.23	$11,481.54
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	AS	$1,148.15	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $3,715.35	Facility		$1,023.29	$1,412.54	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,570.40	Facility		$1,047.13	$1,380.38	$2,570.40
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
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