Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $19,952.62 / $53,703.18	Facility		$2,187.76	$19,952.62	$53,703.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,943.28 / $7,943.28	Professional		$3,801.89	$7,943.28	$7,943.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
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 $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $5,248.07	Professional		$4,570.88	$5,248.07	$5,248.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $7,943.28 / $16,982.44	Facility		$5,888.44	$7,943.28	$16,982.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,943.28 / $7,943.28	Professional		$6,025.60	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,943.28 / $16,982.44	Facility		$6,025.60	$7,943.28	$16,982.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $3,801.89	Professional		$60.26	$79.43	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81