Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.60 / $3,596.00 / $12,040.00	Facility		$846.60	$3,596.00	$12,040.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $760.32 / $760.32 / $760.32	Facility		$760.32	$760.32	$760.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,364.64	Facility		$55.00	$55.00	$14,364.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.30 / $363.47 / $384.65	Facility	AS	$175.30	$363.47	$384.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $778.93 / $1,063.71 / $1,764.14	Facility		$778.93	$1,063.71	$1,764.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.03 / $1,086.54 / $2,000.82	Facility		$775.03	$1,086.54	$2,000.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $258.60 / $258.60 / $258.60	Facility	AS	$258.60	$258.60	$258.60
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