Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,685.66 / $1,685.66 / $1,685.66	Facility		$1,685.66	$1,685.66	$1,685.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $19,655.91	Facility		$55.00	$55.00	$19,655.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,897.66 / $2,522.25 / $4,566.08	Facility		$1,897.66	$2,522.25	$4,566.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,897.66 / $2,538.50 / $4,860.28	Facility		$1,897.66	$2,538.50	$4,860.28
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $723.73 / $723.73 / $723.73	Facility	80	$723.73	$723.73	$723.73
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