Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,836.00	Facility		$895.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $801.43 / $801.43 / $801.43	Facility		$801.43	$801.43	$801.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,036.46	Facility		$55.00	$55.00	$4,036.46
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $184.70 / $381.48 / $403.65	Facility	AS	$184.70	$381.48	$403.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $826.56 / $1,014.06 / $1,861.43	Facility		$826.56	$1,014.06	$1,861.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.56 / $1,017.14 / $1,908.97	Facility		$826.56	$1,017.14	$1,908.97
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