Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,596.00 / $10,836.00	Facility		$714.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $555.29 / $555.29 / $555.29	Facility		$555.29	$555.29	$555.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,783.31	Facility		$55.00	$55.00	$2,783.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $126.97 / $262.80 / $278.33	Facility	AS	$126.97	$262.80	$278.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.61 / $698.49 / $1,281.89	Facility		$568.61	$698.49	$1,281.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.61 / $699.65 / $1,314.63	Facility		$568.61	$699.65	$1,314.63
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