Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,682.00 / $12,826.00	Facility		$983.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.60 / $1,071.49 / $1,395.28	Professional		$974.60	$1,071.49	$1,395.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,475.58 / $13,683.03	Facility		$1,081.04	$2,475.58	$13,683.03
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 $1,260.85 / $1,260.85 / $1,260.85	Facility		$1,260.85	$1,260.85	$1,260.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $872.81 / $5,251.05	Professional		$698.25	$872.81	$5,251.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,978.98 / $13,225.96 / $14,342.46	Facility		$9,978.98	$13,225.96	$14,342.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,559.68 / $8,195.52 / $9,060.08	Professional		$7,559.68	$8,195.52	$9,060.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,030.02 / $1,356.45 / $2,188.52	Facility		$1,030.02	$1,356.45	$2,188.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $924.73 / $924.73 / $1,250.58	Professional		$924.73	$924.73	$1,250.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,001.93 / $1,342.77 / $2,239.41	Facility		$1,001.93	$1,342.77	$2,239.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $924.73 / $1,435.56 / $5,251.05	Professional		$924.73	$1,435.56	$5,251.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.56 / $1,199.56 / $1,944.87	Professional		$895.56	$1,199.56	$1,944.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,250.58 / $1,373.03 / $1,726.31	Professional		$1,250.58	$1,373.03	$1,726.31