Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $3,596.00 / $10,836.00	Facility		$895.00	$3,596.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $983.18 / $983.18 / $983.18	Facility		$983.18	$983.18	$983.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $12,409.32	Facility		$55.00	$55.00	$12,409.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $939.95 / $1,241.59 / $2,218.55	Facility		$939.95	$1,241.59	$2,218.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $939.95 / $1,247.92 / $2,320.08	Facility		$939.95	$1,247.92	$2,320.08
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,546.00 / $9,024.00	Facility		$450.00	$2,546.00	$9,024.00