Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,028.00 / $9,825.00	Facility		$921.00	$4,028.00	$9,825.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $114.59 / $114.59 / $114.59	Facility		$114.59	$114.59	$114.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.05 / $299.17 / $614.54	Facility		$128.05	$299.17	$614.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $318.63 / $614.54	Facility		$130.90	$318.63	$614.54
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