Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.50 / $3,596.00 / $10,836.00	Facility		$894.50	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $828.72 / $828.72 / $828.72	Facility		$828.72	$828.72	$828.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,709.06	Facility		$55.00	$55.00	$12,709.06
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $190.81 / $395.71 / $419.07	Facility	AS	$190.81	$395.71	$419.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $840.93 / $1,090.71 / $1,923.05	Facility		$840.93	$1,090.71	$1,923.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.93 / $1,100.11 / $2,172.12	Facility		$840.93	$1,100.11	$2,172.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.66 / $280.66 / $280.66	Facility	AS	$280.66	$280.66	$280.66
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