Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $3,682.00 / $12,281.00	Facility		$935.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.11 / $936.85 / $7,943.92	Professional		$852.11	$936.85	$7,943.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.47 / $9,391.66 / $19,343.00	Facility		$5,144.47	$9,391.66	$19,343.00
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 $1,046.38 / $3,603.00 / $6,702.00	Facility		$1,046.38	$3,603.00	$6,702.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,094.20 / $4,094.20 / $4,094.20	Professional		$4,094.20	$4,094.20	$4,094.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,122.00 / $17,381.18 / $19,913.50	Facility		$4,122.00	$17,381.18	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,815.37 / $6,801.44 / $7,443.90	Professional		$5,815.37	$6,801.44	$7,443.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $900.60 / $1,164.43 / $1,986.12	Facility		$900.60	$1,164.43	$1,986.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $700.29 / $1,056.11 / $10,096.00	Professional		$700.29	$1,056.11	$10,096.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $773.09 / $1,146.20 / $2,068.71	Facility		$773.09	$1,146.20	$2,068.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $700.29 / $1,255.26 / $4,094.20	Professional		$700.29	$1,255.26	$4,094.20
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 $754.54 / $1,042.28 / $1,739.37	Professional		$754.54	$1,042.28	$1,739.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,056.11 / $1,099.39 / $1,458.39	Professional		$1,056.11	$1,099.39	$1,458.39