Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.99 / $3,596.00 / $10,836.00	Facility		$893.99	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $777.35 / $777.35 / $777.35	Facility		$777.35	$777.35	$777.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,753.12	Facility		$55.00	$55.00	$14,753.12
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $181.45 / $373.61 / $392.71	Facility	AS	$181.45	$373.61	$392.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.05 / $936.07 / $1,895.26	Facility		$792.05	$936.07	$1,895.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.05 / $940.32 / $2,080.03	Facility		$792.05	$940.32	$2,080.03
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