Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.86 / $3,682.00 / $12,941.00	Facility		$886.86	$3,682.00	$12,941.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $821.02 / $821.02 / $821.02	Facility		$821.02	$821.02	$821.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $26,135.20	Facility		$55.00	$55.00	$26,135.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $202.16 / $408.43 / $420.67	Facility	AS	$202.16	$408.43	$420.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $863.28 / $1,031.05 / $2,280.63	Facility		$863.28	$1,031.05	$2,280.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.28 / $1,035.74 / $2,334.42	Facility		$863.28	$1,035.74	$2,334.42
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00