Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,364.00 / $2,577.00	Facility		$808.00	$1,364.00	$2,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.91 / $1,128.68 / $1,251.00	Professional		$348.91	$1,128.68	$1,251.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.14 / $619.04 / $1,012.57	Facility		$253.14	$619.04	$1,012.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.84 / $807.84 / $807.84	Professional		$807.84	$807.84	$807.84
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 $329.66 / $700.00 / $2,245.79	Facility		$329.66	$700.00	$2,245.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $1,755.54	Professional		$772.33	$772.33	$1,755.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $800.56 / $2,894.15 / $2,894.15	Facility		$800.56	$2,894.15	$2,894.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,909.97 / $1,952.60 / $3,150.90	Professional		$1,909.97	$1,952.60	$3,150.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.43 / $1,173.82 / $2,392.80	Facility		$382.43	$1,173.82	$2,392.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $348.16 / $348.16	Professional		$348.16	$348.16	$348.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $417.62 / $1,186.68 / $2,392.80	Facility		$417.62	$1,186.68	$2,392.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $348.16 / $726.38	Professional		$133.30	$348.16	$726.38
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $352.10 / $2,138.63	Facility		$230.13	$352.10	$2,138.63
United Facility/Professional Professional Modifier Low / Median / High Price $324.81 / $406.01 / $690.21	Professional		$324.81	$406.01	$690.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.51 / $350.51 / $473.19	Professional		$350.51	$350.51	$473.19