Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $3,596.00 / $10,836.00	Facility		$524.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $309.97 / $309.97 / $309.97	Facility		$309.97	$309.97	$309.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,577.52	Facility		$55.00	$55.00	$1,577.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.81 / $464.33 / $814.73	Facility		$348.81	$464.33	$814.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $481.07 / $878.69	Facility		$356.22	$481.07	$878.69
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