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 $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,782.79	Facility		$54.95	$56.23	$17,782.79
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	AS	$1,778.28	$1,778.28	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $4,073.80	Facility		$954.99	$1,412.54	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,290.87	Facility		$954.99	$1,288.25	$2,290.87
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