Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,040.00	Facility		$732.00	$3,682.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $73.06 / $87.38	Professional		$52.95	$73.06	$87.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $368.09 / $433.05	Professional		$173.22	$368.09	$433.05
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 $33.01 / $37.74 / $43.04	Facility		$33.01	$37.74	$43.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $255.42 / $384.94	Facility		$170.83	$255.42	$384.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.55 / $550.08 / $620.54	Professional		$534.55	$550.08	$620.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.77 / $73.20 / $145.69	Facility		$55.77	$73.20	$145.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $61.97 / $69.06	Professional		$61.97	$61.97	$69.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.41 / $74.53 / $154.91	Facility		$55.41	$74.53	$154.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $66.56 / $124.85	Professional		$38.45	$66.56	$124.85
United Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $81.77 / $131.63	Professional		$59.82	$81.77	$131.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $61.97 / $87.45	Professional		$56.93	$61.97	$87.45