Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.47 / $3,596.00 / $10,836.00	Facility		$810.47	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $652.94 / $652.94 / $652.94	Facility		$652.94	$652.94	$652.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,344.67	Facility		$55.00	$55.00	$3,344.67
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.82 / $324.70 / $334.47	Facility	AS	$160.82	$324.70	$334.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.52 / $905.62 / $2,000.56	Facility		$728.52	$905.62	$2,000.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.52 / $922.14 / $2,000.56	Facility		$728.52	$922.14	$2,000.56
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00