Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.49 / $3,596.00 / $10,893.00	Facility		$930.49	$3,596.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $913.72 / $913.72 / $913.72	Facility		$913.72	$913.72	$913.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,933.00 / $16,889.91	Facility		$55.00	$11,933.00	$16,889.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $958.87 / $1,207.47 / $2,180.73	Facility		$958.87	$1,207.47	$2,180.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.87 / $1,227.77 / $2,401.82	Facility		$958.87	$1,227.77	$2,401.82
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