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 $45.14 / $57.89 / $74.78	Professional		$45.14	$57.89	$74.78
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 $47.33 / $286.08 / $327.27	Facility		$47.33	$286.08	$327.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $322.39 / $322.39 / $322.39	Professional		$322.39	$322.39	$322.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $84.73 / $117.99	Facility		$54.89	$84.73	$117.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $21.17 / $63.89	Professional		$21.17	$21.17	$63.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.14 / $77.45 / $117.99	Facility		$45.14	$77.45	$117.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.77 / $21.17	Professional		$10.61	$14.77	$21.17
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 $9.75 / $13.00 / $20.80	Professional		$9.75	$13.00	$20.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $87.19 / $122.07	Professional		$59.93	$87.19	$122.07