Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.02 / $3,570.00 / $10,836.00	Facility		$232.02	$3,570.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $134.22 / $134.22 / $134.22	Facility		$134.22	$134.22	$134.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $33.42 / $67.06 / $68.19	Facility	AS	$33.42	$67.06	$68.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.74 / $206.92 / $422.05	Facility		$153.74	$206.92	$422.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.74 / $210.85 / $422.05	Facility		$153.74	$210.85	$422.05
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