Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Facility		$1,557.09	$1,557.09	$1,557.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Professional		$1,557.09	$1,557.09	$1,557.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $174.00 / $174.00	Professional		$139.19	$174.00	$174.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $7,691.30 / $7,691.30 / $7,691.30	Facility		$7,691.30	$7,691.30	$7,691.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $3,641.40	Facility		$1,557.09	$1,557.09	$3,641.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,044.76 / $3,044.76 / $3,044.76	Professional		$3,044.76	$3,044.76	$3,044.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $3,641.40	Facility		$1,557.09	$1,557.09	$3,641.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,044.76 / $3,044.76 / $3,044.76	Professional		$3,044.76	$3,044.76	$3,044.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,400.00	Professional		$3,400.00	$3,400.00	$3,400.00