Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.49 / $3,596.00 / $10,893.00	Facility		$286.49	$3,596.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $167.15 / $167.15 / $167.15	Facility		$167.15	$167.15	$167.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $41.11 / $82.96 / $85.52	Facility	AS	$41.11	$82.96	$85.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.50 / $226.56 / $512.66	Facility		$176.50	$226.56	$512.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.50 / $226.64 / $512.66	Facility		$176.50	$226.64	$512.66
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