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 / $10,893.00	Facility		$969.00	$3,596.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,371.01 / $1,371.01 / $1,371.01	Facility		$1,371.01	$1,371.01	$1,371.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,242.72	Facility		$55.00	$55.00	$26,242.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $323.47 / $664.87 / $697.18	Facility	AS	$323.47	$664.87	$697.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,420.99 / $1,964.52 / $3,260.11	Facility		$1,420.99	$1,964.52	$3,260.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.83 / $1,970.70 / $3,695.90	Facility		$1,412.83	$1,970.70	$3,695.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $559.53 / $559.53 / $559.53	Facility	80	$559.53	$559.53	$559.53
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $475.60 / $475.60 / $475.60	Facility	AS	$475.60	$475.60	$475.60
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