Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.19 / $3,596.00 / $10,893.00	Facility		$686.19	$3,596.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $468.39 / $493.31 / $493.31	Facility		$468.39	$493.31	$493.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,022.71	Facility		$55.00	$55.00	$12,022.71
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.22 / $232.52 / $239.62	Facility	AS	$115.22	$232.52	$239.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $468.93 / $609.94 / $1,165.15	Facility		$468.93	$609.94	$1,165.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.58 / $612.88 / $1,314.61	Facility		$469.58	$612.88	$1,314.61
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