Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.00 / $3,186.00 / $10,893.00	Facility		$872.00	$3,186.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $959.66 / $959.66 / $959.66	Facility		$959.66	$959.66	$959.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $10,664.28	Facility		$55.00	$55.00	$10,664.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,019.79 / $1,258.18 / $2,398.29	Facility		$1,019.79	$1,258.18	$2,398.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,019.79 / $1,288.53 / $2,454.86	Facility		$1,019.79	$1,288.53	$2,454.86
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