Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.06 / $3,596.00 / $10,836.00	Facility		$266.06	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $155.01 / $155.01 / $155.01	Facility		$155.01	$155.01	$155.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $793.82	Facility		$55.00	$55.00	$793.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $38.11 / $77.05 / $79.38	Facility	AS	$38.11	$77.05	$79.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.86 / $194.51 / $393.32	Facility		$162.86	$194.51	$393.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.86 / $195.40 / $434.20	Facility		$162.86	$195.40	$434.20
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