Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.00 / $1,662.50 / $4,628.02	Facility		$627.00	$1,662.50	$4,628.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $684.00 / $1,140.00	Professional		$532.00	$684.00	$1,140.00
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 $950.00 / $950.00 / $950.00	Facility		$950.00	$950.00	$950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.39 / $1,898.81 / $4,232.12	Facility		$624.39	$1,898.81	$4,232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $1,091.56 / $1,447.05	Professional		$503.50	$1,091.56	$1,447.05
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
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $950.00 / $1,149.50	Facility		$665.00	$950.00	$1,149.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $950.00 / $950.00	Professional		$855.00	$950.00	$950.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.47 / $950.00 / $1,617.89	Facility		$664.47	$950.00	$1,617.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $902.50 / $997.50	Professional		$503.50	$902.50	$997.50
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $665.00	Professional		$399.00	$399.00	$665.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $370.50 / $950.00	Professional		$336.26	$370.50	$950.00