Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,572.00 / $7,542.00	Facility		$669.00	$2,572.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $1,000.00 / $2,127.73	Professional		$92.20	$1,000.00	$2,127.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $80.06 / $2,699.71	Professional		$68.05	$80.06	$2,699.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $81.29 / $81.29 / $5,939.52	Facility		$81.29	$81.29	$5,939.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,022.35 / $4,022.35 / $4,022.35	Professional		$4,022.35	$4,022.35	$4,022.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $461.61 / $461.61	Facility		$425.37	$461.61	$461.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $695.44 / $22,738.24 / $48,004.50	Professional		$695.44	$22,738.24	$48,004.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $551.98 / $6,752.62	Facility		$89.99	$551.98	$6,752.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $181.78 / $5,059.06	Professional		$113.61	$181.78	$5,059.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.99 / $551.98 / $6,630.86	Facility		$89.99	$551.98	$6,630.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $3,050.10 / $4,603.91	Professional		$89.25	$3,050.10	$4,603.91
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,547.97 / $2,063.96 / $3,139.28	Professional		$1,547.97	$2,063.96	$3,139.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,398.75 / $5,194.32 / $7,272.05	Professional		$2,398.75	$5,194.32	$7,272.05