Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,238.28 / $2,238.28 / $2,238.28	Facility		$2,238.28	$2,238.28	$2,238.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,280.80	Facility		$55.00	$55.00	$30,280.80
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,352.24 / $6,964.51 / $7,386.49	Facility	62	$3,352.24	$6,964.51	$7,386.49
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $536.36 / $1,114.32 / $1,181.83	Facility	AS	$536.36	$1,114.32	$1,181.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,346.44 / $2,915.91 / $5,353.55	Facility		$2,346.44	$2,915.91	$5,353.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,346.44 / $2,938.58 / $5,812.47	Facility		$2,346.44	$2,938.58	$5,812.47
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,624.04 / $3,624.04 / $3,624.04	Facility	62	$3,624.04	$3,624.04	$3,624.04
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $927.75 / $927.75 / $927.75	Facility	80	$927.75	$927.75	$927.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $788.59 / $788.59 / $788.59	Facility	AS	$788.59	$788.59	$788.59
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