Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.44 / $3,682.00 / $12,941.00	Facility		$295.44	$3,682.00	$12,941.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $205.94 / $205.94 / $205.94	Facility		$205.94	$205.94	$205.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,090.17	Facility		$55.00	$55.00	$1,090.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.20 / $272.36 / $513.41	Facility		$221.20	$272.36	$513.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.20 / $272.36 / $579.22	Facility		$221.20	$272.36	$579.22
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