Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.20 / $306.20 / $339.35	Facility		$306.20	$306.20	$339.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $339.35 / $460.44	Professional		$290.57	$339.35	$460.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $705.58 / $16,547.20 / $16,547.20	Facility		$705.58	$16,547.20	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,436.69 / $2,436.69 / $3,067.50	Professional		$2,436.69	$2,436.69	$3,067.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $339.35 / $514.75 / $768.44	Facility		$339.35	$514.75	$768.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $339.18 / $339.18	Professional		$339.18	$339.18	$339.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.96 / $518.03 / $768.44	Facility		$335.96	$518.03	$768.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $563.42 / $665.00 / $2,400,000.00	Professional		$563.42	$665.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $1,208.00 / $1,208.00	Professional		$1,208.00	$1,208.00	$1,208.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $687.00 / $687.00 / $927.45	Professional		$687.00	$687.00	$927.45