Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.92 / $3,596.00 / $10,836.00	Facility		$284.92	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $165.85 / $165.85 / $165.85	Facility		$165.85	$165.85	$165.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,315.64	Facility		$55.00	$55.00	$1,315.64
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $40.86 / $104.62 / $104.62	Facility	AS	$40.86	$104.62	$104.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.26 / $316.52 / $567.66	Facility		$189.26	$316.52	$567.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.26 / $319.56 / $581.05	Facility		$189.26	$319.56	$581.05
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $2,546.00 / $9,187.00	Facility		$445.00	$2,546.00	$9,187.00