Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,187.76	Facility		$79.43	$2,089.30	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $23,442.29	Facility		$5,011.87	$5,011.87	$23,442.29
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	AS	$2,344.23	$2,344.23	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $5,128.61	Facility		$1,995.26	$2,818.38	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,011.87	Facility		$2,089.30	$2,818.38	$5,011.87
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	AS	$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,511.89 / $10,232.93	Facility		$446.68	$2,511.89	$10,232.93