Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,715.35 / $12,882.50	Facility		$1,047.13	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,258.93	Facility		$1,096.48	$1,096.48	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	AS	$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $4,168.69	Facility		$1,148.15	$1,737.80	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,818.38	Facility		$1,230.27	$1,584.89	$2,818.38
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