Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,219.00 / $10,893.00	Facility		$880.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.10 / $1,119.19 / $1,623.10	Professional		$948.10	$1,119.19	$1,623.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,441.38 / $4,663.00 / $8,872.32	Facility		$2,441.38	$4,663.00	$8,872.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.25 / $301.25 / $354.41	Professional		$301.25	$301.25	$354.41
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 $1,153.10 / $1,472.88 / $2,256.46	Professional		$1,153.10	$1,472.88	$2,256.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,102.00 / $26,542.00 / $26,542.00	Facility		$11,102.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,704.82 / $10,791.15 / $11,133.01	Professional		$10,704.82	$10,791.15	$11,133.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $948.10 / $1,270.96 / $1,859.39	Facility		$948.10	$1,270.96	$1,859.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.36 / $5,306.00 / $6,634.00	Professional		$1,193.36	$5,306.00	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.10 / $1,270.96 / $1,911.55	Facility		$948.10	$1,270.96	$1,911.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,171.17 / $1,555.11 / $2,323.98	Professional		$1,171.17	$1,555.11	$2,323.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.70 / $1,317.99 / $1,925.37	Professional		$991.70	$1,317.99	$1,925.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,203.34 / $1,203.34 / $1,624.52	Professional		$1,203.34	$1,203.34	$1,624.52