Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,792.00 / $10,893.00	Facility		$969.00	$3,792.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,151.99 / $4,151.99 / $4,151.99	Facility		$4,151.99	$4,151.99	$4,151.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $106,031.31	Facility		$55.00	$55.00	$106,031.31
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $6,285.42 / $12,811.62 / $13,302.56	Facility	62	$6,285.42	$12,811.62	$13,302.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $4,926.53 / $10,181.87	Facility		$3,660.83	$4,926.53	$10,181.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,710.59 / $4,940.18 / $10,441.91	Facility		$3,710.59	$4,940.18	$10,441.91
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $6,726.13 / $6,726.13 / $6,726.13	Facility	62	$6,726.13	$6,726.13	$6,726.13
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