Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,213.00 / $10,893.00	Facility		$759.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $196.37 / $213.32	Professional		$164.30	$196.37	$213.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $163.47 / $163.47	Professional		$163.47	$163.47	$163.47
Christus Facility/Professional Facility Modifier Low / Median / High Price $124.03 / $124.03 / $124.03	Facility		$124.03	$124.03	$124.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,196.02 / $1,196.02 / $1,196.02	Facility		$1,196.02	$1,196.02	$1,196.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.13 / $313.13 / $391.41	Professional		$313.13	$313.13	$391.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $353.77 / $4,725.95 / $4,725.95	Facility		$353.77	$4,725.95	$4,725.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.36 / $1,857.20 / $1,857.20	Professional		$1,413.36	$1,857.20	$1,857.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.08 / $220.95 / $1,670.48	Facility		$133.08	$220.95	$1,670.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.90 / $125.90 / $208.14	Professional		$125.90	$125.90	$208.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.08 / $225.52 / $1,553.77	Facility		$137.08	$225.52	$1,553.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.14 / $237.35 / $363.97	Professional		$208.14	$237.35	$363.97
United Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $2,050.00 / $4,509.00	Facility		$564.00	$2,050.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.18 / $216.05 / $337.85	Professional		$156.18	$216.05	$337.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $1,392.07 / $1,997.70	Professional		$195.37	$1,392.07	$1,997.70