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 $320.27 / $388.12 / $2,400.00	Professional		$320.27	$388.12	$2,400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $399.31 / $1,398.85	Facility		$233.56	$399.31	$1,398.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.21 / $817.89 / $817.89	Professional		$695.21	$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 $1,970.56 / $2,558.37 / $2,789.25	Facility		$1,970.56	$2,558.37	$2,789.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,394.40 / $4,000.80 / $4,793.39	Professional		$3,394.40	$4,000.80	$4,793.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.28 / $644.74 / $826.67	Facility		$389.28	$644.74	$826.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.74 / $501.74 / $502.18	Professional		$501.74	$501.74	$502.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.11 / $578.11 / $832.44	Facility		$365.11	$578.11	$832.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $502.18 / $502.18	Professional		$502.18	$502.18	$502.18
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 $310.73 / $414.31 / $630.16	Professional		$310.73	$414.31	$630.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $601.39 / $841.95	Professional		$315.55	$601.39	$841.95