Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,952.62	Facility		$54.95	$56.23	$19,952.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $4,265.80	Facility		$1,258.93	$1,905.46	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,019.95	Facility		$1,288.25	$1,819.70	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93