Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.06 / $297.06 / $368.03	Professional		$297.06	$297.06	$368.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.73 / $873.73 / $873.73	Professional		$873.73	$873.73	$873.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $489.81 / $489.81 / $494.61	Facility		$489.81	$489.81	$494.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,401.40 / $2,686.60 / $2,686.60	Facility		$2,401.40	$2,686.60	$2,686.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.06 / $297.06 / $297.06	Facility		$297.06	$297.06	$297.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.06 / $297.06 / $297.06	Facility		$297.06	$297.06	$297.06
United Facility/Professional Professional Modifier Low / Median / High Price $310.56 / $389.75 / $561.35	Professional		$310.56	$389.75	$561.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $272.44 / $272.44	Professional		$272.44	$272.44	$272.44