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 $240.91 / $240.91 / $1,469.60	Facility		$240.91	$240.91	$1,469.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,089.60	Facility		$55.00	$55.00	$28,089.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,521.33 / $2,073.90 / $3,486.26	Facility		$1,521.33	$2,073.90	$3,486.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,512.65 / $2,093.51 / $3,952.58	Facility		$1,512.65	$2,093.51	$3,952.58
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