Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,840.00 / $8,002.00	Facility		$803.00	$2,840.00	$8,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.63 / $1,217.80 / $4,851.00	Professional		$200.63	$1,217.80	$4,851.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.24 / $1,008.82 / $2,250.92	Facility		$542.24	$1,008.82	$2,250.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $82.00 / $82.00	Professional		$67.00	$82.00	$82.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,420.69 / $1,420.69 / $1,420.69	Facility		$1,420.69	$1,420.69	$1,420.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,559.27 / $5,559.27 / $5,559.27	Professional		$5,559.27	$5,559.27	$5,559.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.00 / $2,042.00 / $4,336.00	Professional		$2,042.00	$2,042.00	$4,336.00
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,527.00 / $3,287.00	Facility		$369.00	$1,527.00	$3,287.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00