Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $3,682.00 / $12,281.00	Facility		$368.46	$3,682.00	$12,281.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $213.70 / $213.70 / $213.70	Facility		$213.70	$213.70	$213.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,116.77	Facility		$55.00	$55.00	$1,116.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $278.87 / $527.94	Facility		$226.68	$278.87	$527.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $279.14 / $597.24	Facility		$226.68	$279.14	$597.24
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