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 $1,953.77 / $1,953.77 / $1,953.77	Facility		$1,953.77	$1,953.77	$1,953.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,592.82	Facility		$55.00	$55.00	$25,592.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $439.65 / $956.73 / $996.09	Facility	AS	$439.65	$956.73	$996.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,974.91 / $2,619.44 / $4,617.02	Facility		$1,974.91	$2,619.44	$4,617.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,974.91 / $2,625.22 / $4,725.91	Facility		$1,974.91	$2,625.22	$4,725.91
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $669.77 / $669.77 / $669.77	Facility	AS	$669.77	$669.77	$669.77
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