Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,664.40 / $4,664.50	Facility		$570.00	$1,664.40	$4,664.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $627.00 / $807.50	Professional		$532.00	$627.00	$807.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.84 / $2,087.15 / $4,232.12	Facility		$632.84	$2,087.15	$4,232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $1,157.05 / $1,386.28	Professional		$456.00	$1,157.05	$1,386.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $4,512.50 / $4,512.50	Facility		$1,520.00	$4,512.50	$4,512.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,750.00 / $4,750.00 / $7,125.00	Professional		$4,750.00	$4,750.00	$7,125.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $950.00 / $1,332.05	Facility		$570.00	$950.00	$1,332.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $902.50 / $950.00 / $1,187.50	Professional		$902.50	$950.00	$1,187.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.29 / $1,018.88 / $3,421.21	Facility		$645.29	$1,018.88	$3,421.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.50 / $1,045.00 / $1,330.00	Professional		$731.50	$1,045.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $585.20	Professional		$399.00	$399.00	$585.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $950.00	Professional		$380.00	$380.00	$950.00