Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $10,893.00	Facility		$767.00	$3,219.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $609.70 / $609.70 / $622.10	Facility		$609.70	$609.70	$622.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $26,542.00 / $26,542.00	Facility		$6,817.20	$26,542.00	$26,542.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.11 / $691.75 / $947.05	Facility		$566.11	$691.75	$947.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.11 / $691.75 / $955.12	Facility		$566.11	$691.75	$955.12
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00