Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Professional		$575.44	$575.44	$758.58
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 $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,230.27	Facility		$575.44	$602.56	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Professional		$575.44	$575.44	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $602.56 / $1,230.27	Facility		$575.44	$602.56	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $758.58	Professional		$79.43	$100.00	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $707.95	Professional		$602.56	$602.56	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83