Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.00 / $3,894.00 / $13,004.00	Facility		$1,228.00	$3,894.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,380.77 / $5,918.41 / $11,607.72	Facility		$3,380.77	$5,918.41	$11,607.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,047.15 / $1,047.15 / $1,093.58	Facility		$1,047.15	$1,047.15	$1,093.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $1,479.41 / $2,465.00	Facility		$1,169.80	$1,479.41	$2,465.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.49 / $1,502.15 / $2,635.00	Facility		$1,179.49	$1,502.15	$2,635.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,958.00 / $13,134.00	Facility		$2,093.00	$5,958.00	$13,134.00