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 $1,212.78 / $1,212.78 / $1,212.78	Facility		$1,212.78	$1,212.78	$1,212.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $16,397.91	Facility		$55.00	$55.00	$16,397.91
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $299.48 / $606.29 / $623.41	Facility	AS	$299.48	$606.29	$623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,392.63 / $1,811.45 / $3,657.73	Facility		$1,392.63	$1,811.45	$3,657.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,392.63 / $1,831.10 / $3,720.09	Facility		$1,392.63	$1,831.10	$3,720.09
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