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 $233.74 / $256.86 / $303.14	Professional		$233.74	$256.86	$303.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.98 / $1,031.33 / $2,231.42	Facility		$624.98	$1,031.33	$2,231.42
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 $379.05 / $379.05 / $379.05	Facility		$379.05	$379.05	$379.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.45 / $1,819.45 / $1,819.45	Professional		$1,819.45	$1,819.45	$1,819.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $322.31 / $29,484.87 / $33,780.60	Facility		$322.31	$29,484.87	$33,780.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.65 / $2,270.48 / $2,888.10	Professional		$2,103.65	$2,270.48	$2,888.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $364.82 / $562.63	Facility		$243.61	$364.82	$562.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $136.05 / $279.95	Professional		$136.05	$136.05	$279.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.65 / $340.89 / $561.33	Facility		$184.65	$340.89	$561.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.05 / $355.61 / $1,819.45	Professional		$136.05	$355.61	$1,819.45
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.21 / $278.89 / $451.55	Professional		$211.21	$278.89	$451.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.77 / $402.07 / $543.46	Professional		$388.77	$402.07	$543.46