Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $12,281.00	Facility		$969.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,741.95 / $2,377.21 / $2,925.47	Professional		$1,741.95	$2,377.21	$2,925.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $9,032.74 / $18,989.00	Facility		$4,307.00	$9,032.74	$18,989.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.41 / $720.48 / $720.48	Professional		$612.41	$720.48	$720.48
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 $2,200.19 / $2,200.19 / $2,200.19	Facility		$2,200.19	$2,200.19	$2,200.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,672.61 / $2,361.55 / $9,162.82	Professional		$1,672.61	$2,361.55	$9,162.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,843.80 / $26,033.45 / $26,033.45	Facility		$10,843.80	$26,033.45	$26,033.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,237.97 / $14,301.28 / $16,659.15	Professional		$14,237.97	$14,301.28	$16,659.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $411.10 / $1,769.07 / $3,507.08	Facility		$411.10	$1,769.07	$3,507.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $384.68 / $1,842.25 / $6,634.00	Professional		$384.68	$1,842.25	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.97 / $1,932.32 / $3,794.59	Facility		$415.97	$1,932.32	$3,794.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,672.61 / $1,842.25 / $9,162.82	Professional		$1,672.61	$1,842.25	$9,162.82
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 $446.62 / $1,180.05 / $2,163.17	Professional		$446.62	$1,180.05	$2,163.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,596.98 / $1,697.81 / $2,274.52	Professional		$1,596.98	$1,697.81	$2,274.52