Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,497.15 / $1,497.15 / $1,497.15	Facility		$1,497.15	$1,497.15	$1,497.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,551.04	Facility		$55.00	$55.00	$28,551.04
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $350.25 / $722.85 / $761.47	Facility	AS	$350.25	$722.85	$761.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,043.10 / $3,524.46	Facility		$1,547.00	$2,043.10	$3,524.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,538.71 / $2,051.92 / $3,999.02	Facility		$1,538.71	$2,051.92	$3,999.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $515.67 / $515.67 / $515.67	Facility	AS	$515.67	$515.67	$515.67
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