Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,570.00 / $10,836.00	Facility		$657.00	$3,570.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $423.85 / $423.85 / $423.85	Facility		$423.85	$423.85	$423.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $5,735.40	Facility		$55.00	$55.00	$5,735.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.59 / $553.48 / $1,060.47	Facility		$447.59	$553.48	$1,060.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.59 / $553.48 / $1,191.04	Facility		$447.59	$553.48	$1,191.04
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