Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.98 / $3,596.00 / $10,836.00	Facility		$923.98	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $894.68 / $894.68 / $894.68	Facility		$894.68	$894.68	$894.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,035.36	Facility		$55.00	$55.00	$17,035.36
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $208.79 / $431.29 / $454.62	Facility	AS	$208.79	$431.29	$454.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $919.50 / $1,199.46 / $2,106.42	Facility		$919.50	$1,199.46	$2,106.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $918.27 / $1,200.15 / $2,381.60	Facility		$918.27	$1,200.15	$2,381.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $307.20 / $307.20 / $307.20	Facility	AS	$307.20	$307.20	$307.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00