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 $1,041.56 / $5,134.33 / $5,134.33	Facility		$1,041.56	$5,134.33	$5,134.33
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 $1,164.38 / $1,473.22 / $2,402.04	Facility		$1,164.38	$1,473.22	$2,402.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,170.99 / $1,497.38 / $2,719.50	Facility		$1,170.99	$1,497.38	$2,719.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,207.00 / $6,566.00 / $13,237.00	Facility		$2,207.00	$6,566.00	$13,237.00