Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $4,132.00 / $17,181.00	Facility		$803.00	$4,132.00	$17,181.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $390.06 / $390.06	Facility		$390.06	$390.06	$390.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,989.11	Facility		$55.00	$55.00	$1,989.11
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $97.54 / $195.28 / $198.91	Facility	AS	$97.54	$195.28	$198.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.27 / $495.10 / $1,006.49	Facility		$412.27	$495.10	$1,006.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.27 / $497.35 / $1,105.23	Facility		$412.27	$497.35	$1,105.23
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