Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $12,882.50	Facility		$1,000.00	$3,801.89	$12,882.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,511.38 / $15,848.93	Facility		$2,630.27	$8,511.38	$15,848.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $954.99 / $977.24	Facility		$79.43	$954.99	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	AS	$660.69	$660.69	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $6,025.60	Facility		$912.01	$1,412.54	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,344.23	Facility		$870.96	$1,230.27	$2,344.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	AS	$165.96	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18