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 $134.32 / $183.30 / $198.61	Professional		$134.32	$183.30	$198.61
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 $376.63 / $769.02 / $838.04	Facility		$376.63	$769.02	$838.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.92 / $1,236.56 / $1,436.78	Professional		$1,199.92	$1,236.56	$1,436.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.35 / $190.68 / $262.12	Facility		$157.35	$190.68	$262.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $158.93 / $158.93	Professional		$158.93	$158.93	$158.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.35 / $190.68 / $262.12	Facility		$157.35	$190.68	$262.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.93 / $158.93 / $158.93	Professional		$158.93	$158.93	$158.93
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,064.00 / $8,759.00	Facility		$405.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $203.55 / $302.91	Professional		$152.66	$203.55	$302.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $392.87 / $530.37	Professional		$392.87	$392.87	$530.37