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 $215.20 / $399.43 / $432.79	Professional		$215.20	$399.43	$432.79
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 $395.70 / $395.70 / $395.70	Facility		$395.70	$395.70	$395.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $497.57 / $1,442.19	Professional		$497.57	$497.57	$1,442.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,136.59 / $8,957.00 / $8,957.00	Facility		$1,136.59	$8,957.00	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,419.98 / $2,571.67 / $2,619.44	Professional		$2,419.98	$2,571.67	$2,619.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.73 / $320.79 / $595.95	Facility		$222.73	$320.79	$595.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $289.64 / $6,634.00	Professional		$212.98	$289.64	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.09 / $341.27 / $740.90	Facility		$230.09	$341.27	$740.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.64 / $497.57 / $1,442.19	Professional		$289.64	$497.57	$1,442.19
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 $234.29 / $304.42 / $484.20	Professional		$234.29	$304.42	$484.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.62 / $306.95 / $470.96	Professional		$290.62	$306.95	$470.96