Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,682.00 / $12,040.00	Facility		$975.00	$3,682.00	$12,040.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,226.69 / $2,226.69 / $2,226.69	Facility		$2,226.69	$2,226.69	$2,226.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $56,395.50	Facility		$55.00	$55.00	$56,395.50
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,346.53 / $6,801.77 / $7,089.44	Facility	62	$3,346.53	$6,801.77	$7,089.44
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $535.45 / $1,088.28 / $1,134.31	Facility	AS	$535.45	$1,088.28	$1,134.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,441.66 / $3,035.41 / $5,409.33	Facility		$2,441.66	$3,035.41	$5,409.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,483.71 / $3,083.53 / $6,125.12	Facility		$2,483.71	$3,083.53	$6,125.12
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