Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,925.00 / $14,449.00	Facility		$945.00	$3,925.00	$14,449.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.03 / $589.64 / $719.65	Professional		$385.03	$589.64	$719.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,602.47 / $43,904.39 / $89,422.91	Facility		$4,602.47	$43,904.39	$89,422.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.85 / $474.85 / $474.85	Professional		$474.85	$474.85	$474.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $43,655.43 / $43,655.43 / $43,655.43	Facility		$43,655.43	$43,655.43	$43,655.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.68 / $6,568.56 / $8,038.24	Facility		$6,079.68	$6,568.56	$8,038.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,516.80 / $6,317.44 / $7,188.68	Professional		$4,516.80	$6,317.44	$7,188.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $521.66 / $604.46 / $1,201.66	Facility		$521.66	$604.46	$1,201.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.66 / $521.66 / $836.97	Professional		$521.66	$521.66	$836.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $530.16 / $614.16 / $1,201.66	Facility		$530.16	$614.16	$1,201.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.68 / $1,335.42 / $1,571.08	Professional		$814.68	$1,335.42	$1,571.08
United Facility/Professional Facility Modifier Low / Median / High Price $7,503.00 / $19,002.00 / $40,083.00	Facility		$7,503.00	$19,002.00	$40,083.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.56 / $628.54 / $1,006.30	Professional		$479.56	$628.54	$1,006.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $521.66 / $535.66 / $718.15	Professional		$521.66	$535.66	$718.15