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 $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	AS	$1,905.46	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $4,073.80	Facility		$1,000.00	$1,479.11	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,398.83	Facility		$1,000.00	$1,318.26	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $17,378.01	Facility		$2,630.27	$8,128.31	$17,378.01