Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,040.00	Facility		$732.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $187.07 / $200.79	Professional		$142.86	$187.07	$200.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.83 / $878.65 / $1,623.11	Facility		$373.83	$878.65	$1,623.11
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 $255.57 / $1,033.95 / $1,182.70	Facility		$255.57	$1,033.95	$1,182.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.85 / $1,259.48 / $1,402.96	Professional		$1,210.85	$1,259.48	$1,402.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $282.12 / $393.55	Facility		$181.03	$282.12	$393.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $103.33 / $212.98	Professional		$103.33	$103.33	$212.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.33 / $238.58 / $393.28	Facility		$134.33	$238.58	$393.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $20.64 / $103.33	Professional		$14.93	$20.64	$103.33
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 $238.30 / $317.73 / $490.32	Professional		$238.30	$317.73	$490.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.95 / $290.62 / $406.87	Professional		$116.95	$290.62	$406.87