Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,162.28 / $8,317.64	Facility		$912.01	$3,162.28	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,584.89 / $6,025.60	Professional		$309.03	$1,584.89	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $389.05 / $851.14	Facility		$208.93	$389.05	$851.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Professional		$13,803.84	$13,803.84	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,570.40 / $6,918.31	Facility		$724.44	$2,570.40	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,862.09 / $8,317.64	Professional		$309.03	$1,862.09	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03