Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.61 / $3,596.00 / $10,836.00	Facility		$839.61	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $751.50 / $751.50 / $751.50	Facility		$751.50	$751.50	$751.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,314.56	Facility		$55.00	$55.00	$14,314.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.80 / $362.41 / $381.52	Facility	AS	$175.80	$362.41	$381.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $755.07 / $972.70 / $1,771.79	Facility		$755.07	$972.70	$1,771.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.07 / $981.59 / $2,026.46	Facility		$755.07	$981.59	$2,026.46
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $257.39 / $257.39 / $257.39	Facility	AS	$257.39	$257.39	$257.39
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00