Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,511.00 / $12,941.00	Facility		$969.00	$3,511.00	$12,941.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,764.78 / $1,764.78 / $1,764.78	Facility		$1,764.78	$1,764.78	$1,764.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,302.48	Facility		$55.00	$55.00	$25,302.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,788.98 / $2,338.08 / $4,160.89	Facility		$1,788.98	$2,338.08	$4,160.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,788.98 / $2,372.71 / $4,321.04	Facility		$1,788.98	$2,372.71	$4,321.04
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