Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $942.97 / $942.97 / $942.97	Facility		$942.97	$942.97	$942.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $13,331.34	Facility		$55.00	$55.00	$13,331.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,081.27 / $1,370.46 / $2,469.33	Facility		$1,081.27	$1,370.46	$2,469.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,081.27 / $1,401.84 / $3,044.30	Facility		$1,081.27	$1,401.84	$3,044.30
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