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 $1,156.91 / $1,271.95 / $1,400.00	Professional		$1,156.91	$1,271.95	$1,400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,307.00 / $8,673.83 / $17,407.47	Facility		$4,307.00	$8,673.83	$17,407.47
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 $1,493.35 / $1,493.35 / $1,493.35	Facility		$1,493.35	$1,493.35	$1,493.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $872.81 / $5,843.53	Professional		$698.25	$872.81	$5,843.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,318.60 / $14,670.11 / $17,132.00	Facility		$9,318.60	$14,670.11	$17,132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,865.60 / $9,707.44 / $10,620.90	Professional		$8,865.60	$9,707.44	$10,620.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.73 / $1,616.76 / $2,638.39	Facility		$1,222.73	$1,616.76	$2,638.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.45 / $1,507.65 / $6,634.00	Professional		$1,055.45	$1,507.65	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,143.57 / $1,616.58 / $2,658.38	Facility		$1,143.57	$1,616.58	$2,658.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,055.45 / $1,704.19 / $5,843.53	Professional		$1,055.45	$1,704.19	$5,843.53
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 $1,024.66 / $1,417.80 / $2,308.69	Professional		$1,024.66	$1,417.80	$2,308.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,507.65 / $1,536.92 / $2,078.46	Professional		$1,507.65	$1,536.92	$2,078.46