Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $29,512.09	Facility		$54.95	$56.23	$29,512.09
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility	62	$18,620.87	$18,620.87	$18,620.87
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility	AS	$2,951.21	$2,951.21	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $6,025.60	Facility		$1,445.44	$2,511.89	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,981.07	Facility		$1,737.80	$2,398.83	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93