Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.50 / $3,596.00 / $10,836.00	Facility		$913.50	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $876.95 / $876.95 / $876.95	Facility		$876.95	$876.95	$876.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,502.08	Facility		$55.00	$55.00	$16,502.08
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $201.94 / $417.36 / $441.43	Facility	AS	$201.94	$417.36	$441.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $894.24 / $1,173.99 / $2,040.71	Facility		$894.24	$1,173.99	$2,040.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.89 / $1,177.83 / $2,306.16	Facility		$889.89	$1,177.83	$2,306.16
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $297.70 / $297.70 / $297.70	Facility	AS	$297.70	$297.70	$297.70
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