Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,047.13	Facility		$54.95	$56.23	$1,047.13
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	AS	$104.71	$104.71	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,290.87 / $8,511.38	Facility		$213.80	$2,290.87	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $208.93 / $407.38	Facility		$158.49	$208.93	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93