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 $698.50 / $2,216.32 / $2,401.35	Professional		$698.50	$2,216.32	$2,401.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,606.10 / $9,391.66 / $18,424.41	Facility		$4,606.10	$9,391.66	$18,424.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.32 / $932.14 / $932.14	Professional		$792.32	$932.14	$932.14
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 $2,248.48 / $2,248.48 / $2,248.48	Facility		$2,248.48	$2,248.48	$2,248.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,227.88 / $2,361.55 / $9,360.83	Professional		$2,227.88	$2,361.55	$9,360.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,779.04 / $19,913.50 / $19,913.50	Facility		$9,779.04	$19,913.50	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,311.13 / $14,615.12 / $15,862.58	Professional		$14,311.13	$14,615.12	$15,862.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $605.86 / $2,216.32 / $3,723.42	Facility		$605.86	$2,216.32	$3,723.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $577.01 / $1,661.38 / $6,634.00	Professional		$577.01	$1,661.38	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $618.53 / $2,242.35 / $4,456.76	Facility		$618.53	$2,242.35	$4,456.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.06 / $1,394.99 / $3,089.01	Professional		$263.06	$1,394.99	$3,089.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $5,125.00 / $10,939.00	Facility		$1,691.00	$5,125.00	$10,939.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.69 / $1,632.69 / $3,109.02	Professional		$640.69	$1,632.69	$3,109.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,192.03 / $2,395.46 / $3,411.77	Professional		$2,192.03	$2,395.46	$3,411.77