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 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	AS	$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $5,128.61	Facility		$758.58	$1,202.26	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,862.09	Facility		$758.58	$1,000.00	$1,862.09
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