Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.94 / $3,596.00 / $10,836.00	Facility		$243.94	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $140.44	Facility		$140.44	$140.44	$140.44
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 $158.27 / $206.94 / $352.22	Facility		$158.27	$206.94	$352.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.78 / $215.50 / $396.44	Facility		$161.78	$215.50	$396.44
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