Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $29.20 / $29.20	Facility		$29.20	$29.20	$29.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.64 / $42.58 / $74.88	Facility		$34.64	$42.58	$74.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.64 / $44.26 / $84.95	Facility		$34.64	$44.26	$84.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,152.00 / $12,393.00 / $29,939.00	Facility		$6,152.00	$12,393.00	$29,939.00