Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.12 / $4,265.80	Facility		$1.12	$1.12	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $0.91	Professional		$0.91	$0.91	$0.91
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 $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $138.04	Professional		$109.65	$138.04	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $104.71	Facility		$50.12	$50.12	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
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 $50.12 / $50.12 / $109.65	Facility		$50.12	$50.12	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82