Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,244.00 / $7,513.00	Facility		$521.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $164.48 / $178.20	Professional		$20.00	$164.48	$178.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $401.82 / $1,398.85	Facility		$233.56	$401.82	$1,398.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.89 / $817.89 / $817.89	Professional		$817.89	$817.89	$817.89
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 $1,201.26 / $1,862.05 / $1,862.05	Facility		$1,201.26	$1,862.05	$1,862.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.05 / $1,746.48 / $2,343.98	Professional		$1,615.05	$1,746.48	$2,343.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.11 / $440.42 / $572.53	Facility		$171.11	$440.42	$572.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $204.06 / $342.74	Professional		$204.06	$204.06	$342.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $372.48 / $565.92	Facility		$164.48	$372.48	$565.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.06 / $204.06 / $204.06	Professional		$204.06	$204.06	$204.06
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $183.34 / $284.49	Professional		$137.51	$183.34	$284.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $423.13 / $592.38	Professional		$156.55	$423.13	$592.38