Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,849.00 / $10,893.00	Facility		$945.00	$3,849.00	$10,893.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $4,920.14 / $4,920.14 / $5,109.24	Facility		$4,920.14	$4,920.14	$5,109.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $188,241.61	Facility		$55.00	$55.00	$188,241.61
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $7,406.61 / $15,385.09 / $16,234.19	Facility	62	$7,406.61	$15,385.09	$16,234.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,064.29 / $6,185.11 / $11,603.79	Facility		$5,064.29	$6,185.11	$11,603.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,078.68 / $6,268.10 / $12,223.41	Facility		$5,078.68	$6,268.10	$12,223.41
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $8,028.99 / $8,028.99 / $8,028.99	Facility	62	$8,028.99	$8,028.99	$8,028.99
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $2,055.42 / $2,055.42 / $2,055.42	Facility	80	$2,055.42	$2,055.42	$2,055.42
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $1,970.00 / $8,583.00	Facility		$385.00	$1,970.00	$8,583.00