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 $1,886.63 / $1,886.63 / $1,886.63	Facility		$1,886.63	$1,886.63	$1,886.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $24,624.49	Facility		$55.00	$55.00	$24,624.49
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $423.58 / $919.95 / $960.27	Facility	AS	$423.58	$919.95	$960.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,887.82 / $2,474.51 / $4,434.43	Facility		$1,887.82	$2,474.51	$4,434.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,887.82 / $2,515.21 / $4,539.01	Facility		$1,887.82	$2,515.21	$4,539.01
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $643.78 / $643.78 / $643.78	Facility	AS	$643.78	$643.78	$643.78
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