Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $966.97 / $966.97 / $966.97	Facility		$966.97	$966.97	$966.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,508.80	Facility		$55.00	$55.00	$18,508.80
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $228.82 / $468.83 / $490.96	Facility	AS	$228.82	$468.83	$490.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.91 / $1,175.91 / $2,395.13	Facility		$993.91	$1,175.91	$2,395.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.91 / $1,181.26 / $2,629.22	Facility		$993.91	$1,181.26	$2,629.22
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