Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,511.89 / $7,585.78	Facility		$870.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,071.52 / $1,258.93	Professional		$223.87	$1,071.52	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $12,589.25	Facility		$1,122.02	$2,290.87	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
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 $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,302.69 / $12,302.69	Professional		$10,232.93	$12,302.69	$12,302.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,412.54 / $4,168.69	Facility		$588.84	$1,412.54	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,096.48 / $1,258.93	Professional		$223.87	$1,096.48	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,412.54 / $2,570.40	Facility		$380.19	$1,412.54	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
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
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,949.84	Professional		$933.25	$1,258.93	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $660.69 / $660.69	Professional		$588.84	$660.69	$660.69