Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $208.93	Professional		$141.25	$181.97	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $1,584.89	Facility		$389.05	$870.96	$1,584.89
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 $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,258.93	Professional		$1,202.26	$1,258.93	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $4,677.35	Facility		$141.25	$331.13	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $295.12	Professional		$141.25	$186.21	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $186.21 / $288.40	Facility		$30.20	$186.21	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $478.63	Professional		$239.88	$316.23	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40