Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.72 / $3,596.00 / $10,836.00	Facility		$220.72	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $128.72 / $128.72	Facility		$128.72	$128.72	$128.72
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 $146.07 / $201.36 / $400.13	Facility		$146.07	$201.36	$400.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.07 / $207.42 / $400.13	Facility		$146.07	$207.42	$400.13
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