Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.22 / $3,570.00 / $10,836.00	Facility		$711.22	$3,570.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $374.53 / $374.53 / $484.77	Facility		$374.53	$374.53	$484.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,481.73	Facility		$55.00	$55.00	$2,481.73
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $119.33 / $240.85 / $248.17	Facility	AS	$119.33	$240.85	$248.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $658.43 / $1,486.41	Facility		$508.51	$658.43	$1,486.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $659.56 / $1,486.41	Facility		$508.51	$659.56	$1,486.41
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