Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,882.50	Facility		$1,096.48	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,659.59 / $1,737.80	Facility		$79.43	$1,659.59	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	AS	$2,238.72	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $4,897.79	Facility		$1,548.82	$2,344.23	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $3,981.07	Facility		$1,698.24	$2,290.87	$3,981.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
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