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 $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,595.87	Facility		$54.95	$56.23	$16,595.87
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	AS	$1,659.59	$1,659.59	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $4,073.80	Facility		$891.25	$1,318.26	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,137.96	Facility		$891.25	$1,202.26	$2,137.96
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