Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,513.85 / $1,513.85 / $1,513.85	Facility		$1,513.85	$1,513.85	$1,513.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $29,689.28	Facility		$55.00	$55.00	$29,689.28
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $2,333.66 / $4,716.47 / $4,845.21	Facility	62	$2,333.66	$4,716.47	$4,845.21
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $373.39 / $754.64 / $775.23	Facility	AS	$373.39	$754.64	$775.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,733.39 / $2,264.69 / $3,800.27	Facility		$1,733.39	$2,264.69	$3,800.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,733.39 / $2,287.57 / $4,268.18	Facility		$1,733.39	$2,287.57	$4,268.18
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