Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $4,073.80	Facility		$794.33	$1,174.90	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,995.26	Facility		$776.25	$1,096.48	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51