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 $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $4,073.80	Facility		$776.25	$1,122.02	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,819.70	Facility		$758.58	$1,000.00	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93