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 $335.85 / $369.26 / $1,000.00	Professional		$335.85	$369.26	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $2,698.42 / $3,936.00	Facility		$1,862.00	$2,698.42	$3,936.00
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 $434.29 / $434.29 / $434.29	Facility		$434.29	$434.29	$434.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.13 / $436.41 / $1,808.56	Professional		$349.13	$436.41	$1,808.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,683.97 / $6,111.70 / $6,287.26	Facility		$4,683.97	$6,111.70	$6,287.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,744.72 / $2,822.88 / $3,287.93	Professional		$2,744.72	$2,822.88	$3,287.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.95 / $414.58 / $771.75	Facility		$354.95	$414.58	$771.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.05 / $341.05 / $370.18	Professional		$341.05	$341.05	$370.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $416.94 / $782.83	Facility		$336.96	$416.94	$782.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.05 / $494.68 / $1,808.56	Professional		$341.05	$494.68	$1,808.56
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 $312.94 / $413.23 / $669.97	Professional		$312.94	$413.23	$669.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $411.01 / $506.51	Professional		$370.18	$411.01	$506.51