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 / $10,836.00	Facility		$969.00	$3,792.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,403.35 / $4,403.35 / $4,403.35	Facility		$4,403.35	$4,403.35	$4,403.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $112,053.90	Facility		$55.00	$55.00	$112,053.90
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $6,651.76 / $13,541.08 / $14,043.08	Facility	62	$6,651.76	$13,541.08	$14,043.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,002.91 / $5,209.17 / $10,806.42	Facility		$4,002.91	$5,209.17	$10,806.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,002.91 / $5,223.91 / $11,082.41	Facility		$4,002.91	$5,223.91	$11,082.41
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $7,130.14 / $7,130.14 / $7,130.14	Facility	62	$7,130.14	$7,130.14	$7,130.14
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