Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,456.54	Professional		$5,128.61	$5,128.61	$6,456.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $8,511.38	Facility		$5,128.61	$5,128.61	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $9,772.37	Professional		$5,128.61	$5,128.61	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,623.41 / $9,772.37	Facility		$5,128.61	$5,623.41	$9,772.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43