Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,735.11 / $1,735.11 / $1,735.11	Facility		$1,735.11	$1,735.11	$1,735.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $33,948.48	Facility		$55.00	$55.00	$33,948.48
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $426.91 / $969.89 / $969.89	Facility	AS	$426.91	$969.89	$969.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,933.56 / $2,753.58 / $5,061.55	Facility		$1,933.56	$2,753.58	$5,061.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,976.84 / $2,798.32 / $5,061.55	Facility		$1,976.84	$2,798.32	$5,061.55
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