Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.86 / $3,682.00 / $12,040.00	Facility		$351.86	$3,682.00	$12,040.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $205.49 / $205.49 / $205.49	Facility		$205.49	$205.49	$205.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,333.50	Facility		$55.00	$55.00	$1,333.50
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $50.51 / $101.88 / $105.04	Facility	AS	$50.51	$101.88	$105.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.58 / $304.91 / $628.90	Facility		$233.58	$304.91	$628.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $233.58 / $307.70 / $628.90	Facility		$233.58	$307.70	$628.90
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