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 $240.61 / $240.61 / $240.61	Facility		$240.61	$240.61	$240.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,227.26	Facility		$55.00	$55.00	$1,227.26
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $59.21 / $119.44 / $122.73	Facility	AS	$59.21	$119.44	$122.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.38 / $301.83 / $599.01	Facility		$252.38	$301.83	$599.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.38 / $303.20 / $672.75	Facility		$252.38	$303.20	$672.75
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00