Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $14,454.40	Facility		$1,096.48	$4,073.80	$14,454.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $4,265.80	Facility		$1,047.13	$1,778.28	$4,265.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $891.25 / $912.01	Facility		$79.43	$891.25	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	AS	$630.96	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,412.54 / $5,754.40	Facility		$891.25	$1,412.54	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,187.76	Facility		$831.76	$1,148.15	$2,187.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	AS	$158.49	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,378.01	Facility		$2,630.27	$8,317.64	$17,378.01