Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,089.30 / $6,918.31	Facility		$524.81	$2,089.30	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $302.00	Professional		$128.82	$251.19	$302.00
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 $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,148.15	Professional		$1,122.02	$1,148.15	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $977.24 / $4,677.35	Facility		$194.98	$977.24	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $309.03	Professional		$131.83	$251.19	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $457.09	Facility		$141.25	$234.42	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $338.84	Professional		$204.17	$251.19	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04