Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,281.00	Facility		$732.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.68 / $186.23 / $215.20	Professional		$168.68	$186.23	$215.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,394.44 / $7,555.36 / $13,906.25	Facility		$3,394.44	$7,555.36	$13,906.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,200.00 / $1,200.00	Professional		$1,020.00	$1,200.00	$1,200.00
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 $205.15 / $205.15 / $205.15	Facility		$205.15	$205.15	$205.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.63 / $490.78 / $1,027.43	Professional		$392.63	$490.78	$1,027.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $241.46 / $638.27 / $6,384.05	Facility		$241.46	$638.27	$6,384.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.34 / $1,299.34 / $1,333.84	Professional		$1,299.34	$1,299.34	$1,333.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.04 / $277.45 / $406.87	Facility		$179.04	$277.45	$406.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $212.98 / $6,634.00	Professional		$101.88	$212.98	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $271.66 / $411.32	Facility		$153.72	$271.66	$411.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $101.88 / $1,027.43	Professional		$13.42	$101.88	$1,027.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.02 / $296.99 / $474.59	Professional		$223.02	$296.99	$474.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $306.95 / $408.40	Professional		$290.62	$306.95	$408.40