Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,181.00 / $7,513.00	Facility		$515.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $90.76 / $96.50	Professional		$70.73	$90.76	$96.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $60.04 / $60.04	Professional		$60.04	$60.04	$60.04
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 $199.57 / $437.49 / $476.90	Facility		$199.57	$437.49	$476.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $636.08 / $703.44 / $819.60	Professional		$636.08	$703.44	$819.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $71.92 / $98.07	Facility		$26.36	$71.92	$98.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $84.32	Professional		$23.96	$23.96	$84.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $85.96 / $104.22	Facility		$29.64	$85.96	$104.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $72.13 / $102.56	Professional		$44.13	$72.13	$102.56
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 $58.59 / $77.55 / $118.63	Professional		$58.59	$77.55	$118.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $92.96 / $500.00	Professional		$65.38	$92.96	$500.00