Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,317.00 / $7,542.00	Facility		$521.00	$2,317.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $90.00 / $143.84	Professional		$81.86	$90.00	$143.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
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 $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $135.00 / $436.55	Professional		$108.00	$135.00	$436.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.80 / $423.87 / $462.08	Facility		$207.80	$423.87	$462.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $662.24 / $681.68 / $793.95	Professional		$662.24	$681.68	$793.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $89.92 / $157.36	Facility		$51.61	$89.92	$157.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $48.21 / $87.77	Professional		$48.21	$48.21	$87.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $90.27 / $175.34	Facility		$52.10	$90.27	$175.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $87.77 / $158.82	Professional		$50.42	$87.77	$158.82
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $93.73 / $149.53	Professional		$70.09	$93.73	$149.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $89.92 / $119.22	Professional		$84.89	$89.92	$119.22