Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.74 / $3,596.00 / $10,836.00	Facility		$294.74	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $166.34 / $166.34	Facility		$166.34	$166.34	$166.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $889.72	Facility		$55.00	$55.00	$889.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.26 / $247.41 / $420.99	Facility		$181.26	$247.41	$420.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.26 / $249.13 / $480.54	Facility		$181.26	$249.13	$480.54
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $72.20 / $72.20 / $72.20	Facility	80	$72.20	$72.20	$72.20
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