Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,715.35 / $12,882.50	Facility		$977.24	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	AS	$91.20	$91.20	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $323.59 / $5,128.61	Facility		$158.49	$323.59	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $416.87	Facility		$147.91	$213.80	$416.87
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