Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.47 / $3,596.00 / $10,836.00	Facility		$894.47	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $766.27 / $766.27 / $766.27	Facility		$766.27	$766.27	$766.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,729.60	Facility		$55.00	$55.00	$14,729.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $848.70 / $1,055.71 / $1,939.10	Facility		$848.70	$1,055.71	$1,939.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.70 / $1,080.32 / $2,086.90	Facility		$848.70	$1,080.32	$2,086.90
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