Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.55 / $3,596.00 / $10,836.00	Facility		$247.55	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $162.02 / $162.02 / $162.02	Facility		$162.02	$162.02	$162.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $865.21	Facility		$55.00	$55.00	$865.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $41.26 / $83.41 / $86.52	Facility	AS	$41.26	$83.41	$86.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $220.63 / $443.14	Facility		$176.85	$220.63	$443.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $226.22 / $453.60	Facility		$176.85	$226.22	$453.60
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