Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.09 / $3,682.00 / $15,461.00	Facility		$163.09	$3,682.00	$15,461.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $115.08 / $115.08	Facility		$115.08	$115.08	$115.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $594.13	Facility		$55.00	$55.00	$594.13
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $28.53 / $57.68 / $59.41	Facility	AS	$28.53	$57.68	$59.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.90 / $145.62 / $298.43	Facility		$121.90	$145.62	$298.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.90 / $146.28 / $327.79	Facility		$121.90	$146.28	$327.79
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