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 $222.76 / $246.97 / $275.14	Professional		$222.76	$246.97	$275.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $157.54 / $157.54	Professional		$157.54	$157.54	$157.54
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 $283.02 / $283.02 / $283.02	Facility		$283.02	$283.02	$283.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,178.68 / $1,178.68	Professional		$1,178.68	$1,178.68	$1,178.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,394.88 / $67,014.55 / $67,014.55	Facility		$1,394.88	$67,014.55	$67,014.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,788.72 / $1,840.00 / $2,142.90	Professional		$1,788.72	$1,840.00	$2,142.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $248.14 / $412.78	Facility		$100.75	$248.14	$412.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $93.93 / $236.98	Professional		$93.93	$93.93	$236.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.17 / $255.60 / $453.19	Facility		$102.17	$255.60	$453.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.98 / $342.47 / $1,178.68	Professional		$236.98	$342.47	$1,178.68
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 $204.63 / $278.76 / $453.90	Professional		$204.63	$278.76	$453.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.37 / $246.80 / $334.87	Professional		$236.37	$246.80	$334.87