Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $22,387.21	Facility		$2,398.83	$2,398.83	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $2,398.83	Professional		$2,089.30	$2,398.83	$2,398.83
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $5,011.87	Facility		$2,089.30	$2,398.83	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $199.53 / $218.78	Professional		$30.20	$199.53	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,398.83 / $5,011.87	Facility		$234.42	$2,398.83	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $2,398.83	Professional		$60.26	$79.43	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65