Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,801.89 / $12,882.50	Facility		$1,096.48	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,380.38	Professional		$1,000.00	$1,288.25	$1,380.38
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 $16,218.10 / $16,218.10 / $16,218.10	Facility		$16,218.10	$16,218.10	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,748.98 / $11,748.98	Professional		$9,332.54	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $6,309.57	Facility		$1,071.52	$1,778.28	$6,309.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,412.54	Professional		$1,000.00	$1,288.25	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,691.53	Facility		$1,148.15	$1,513.56	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,317.64 / $17,782.79	Facility		$2,630.27	$8,317.64	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,348.96	Professional		$1,230.27	$1,348.96	$1,348.96