Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.89 / $3,596.00 / $10,836.00	Facility		$239.89	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $139.27 / $139.27	Facility		$139.27	$139.27	$139.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $716.25	Facility		$55.00	$55.00	$716.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $34.35 / $69.48 / $71.63	Facility	AS	$34.35	$69.48	$71.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.18 / $189.01 / $346.87	Facility		$146.18	$189.01	$346.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.18 / $189.78 / $393.01	Facility		$146.18	$189.78	$393.01
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $59.23 / $59.23 / $59.23	Facility	80	$59.23	$59.23	$59.23
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $50.34 / $50.34 / $50.34	Facility	AS	$50.34	$50.34	$50.34
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