Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.72 / $3,596.00 / $10,836.00	Facility		$786.72	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $581.79 / $581.79 / $581.79	Facility		$581.79	$581.79	$581.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,978.39	Facility		$55.00	$55.00	$2,978.39
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $143.21 / $289.14 / $297.83	Facility	AS	$143.21	$289.14	$297.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $634.10 / $789.28 / $1,782.17	Facility		$634.10	$789.28	$1,782.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.10 / $794.49 / $1,782.17	Facility		$634.10	$794.49	$1,782.17
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