Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.11 / $2,263.00 / $7,495.00	Facility		$509.11	$2,263.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $270.48 / $563.82	Professional		$73.81	$270.48	$563.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.74 / $976.02 / $2,153.34	Facility		$552.74	$976.02	$2,153.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $264.00 / $433.62	Professional		$66.93	$264.00	$433.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $70.43 / $332.28	Facility		$70.43	$70.43	$332.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $207.92 / $713.58	Professional		$92.34	$207.92	$713.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $755.92	Facility		$55.00	$55.00	$755.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,306.05 / $2,523.76 / $2,950.35	Professional		$1,306.05	$2,523.76	$2,950.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $267.47 / $460.97	Facility		$78.77	$267.47	$460.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $339.96 / $632.33	Professional		$100.28	$339.96	$632.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $255.67 / $458.11	Facility		$78.77	$255.67	$458.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $222.83 / $747.93	Professional		$96.84	$222.83	$747.93
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,571.00	Facility		$371.00	$1,529.00	$3,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.71 / $490.86 / $771.36	Professional		$370.71	$490.86	$771.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.14 / $324.23 / $453.92	Professional		$290.14	$324.23	$453.92