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 $467.74 / $489.78 / $489.78	Facility		$467.74	$489.78	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,022.64	Facility		$54.95	$56.23	$12,022.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	AS	$1,202.26	$1,202.26	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $5,248.07	Facility		$489.78	$933.25	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,230.27	Facility		$467.74	$645.65	$1,230.27
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