Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.44 / $3,219.00 / $10,893.00	Facility		$842.44	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.44 / $994.40 / $1,443.03	Professional		$842.44	$994.40	$1,443.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,505.69 / $2,596.38 / $5,501.09	Facility		$1,505.69	$2,596.38	$5,501.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.69 / $410.22 / $410.22	Professional		$348.69	$410.22	$410.22
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 Professional Modifier Low / Median / High Price $1,024.66 / $1,309.11 / $2,005.00	Professional		$1,024.66	$1,309.11	$2,005.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,640.88 / $26,542.00 / $26,542.00	Facility		$7,640.88	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,514.93 / $9,591.98 / $9,895.52	Professional		$9,514.93	$9,591.98	$9,895.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $842.44 / $1,118.59 / $1,631.58	Facility		$842.44	$1,118.59	$1,631.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.78 / $3,330.00 / $3,879.00	Professional		$1,060.78	$3,330.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.44 / $1,118.59 / $1,690.10	Facility		$842.44	$1,118.59	$1,690.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.04 / $1,358.10 / $2,065.80	Professional		$1,041.04	$1,358.10	$2,065.80
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.15 / $1,171.47 / $1,711.08	Professional		$881.15	$1,171.47	$1,711.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,026.50 / $1,026.50 / $1,385.78	Professional		$1,026.50	$1,026.50	$1,385.78