Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,155.68 / $1,155.68 / $1,155.68	Facility		$1,155.68	$1,155.68	$1,155.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,992.83	Facility		$55.00	$55.00	$29,992.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,229.27 / $1,578.20 / $2,899.48	Facility		$1,229.27	$1,578.20	$2,899.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,229.27 / $1,584.86 / $3,046.38	Facility		$1,229.27	$1,584.86	$3,046.38
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