Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.30 / $3,596.00 / $10,836.00	Facility		$303.30	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $175.60 / $175.60	Facility		$175.60	$175.60	$175.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,170.17	Facility		$55.00	$55.00	$2,170.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.89 / $263.14 / $497.55	Facility		$200.89	$263.14	$497.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.89 / $264.87 / $529.65	Facility		$200.89	$264.87	$529.65
United Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $949.00 / $2,287.00	Facility		$155.00	$949.00	$2,287.00