Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,219.00 / $10,893.00	Facility		$803.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.63 / $808.19 / $1,172.33	Professional		$684.63	$808.19	$1,172.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.42 / $4,614.80 / $8,663.91	Facility		$2,439.42	$4,614.80	$8,663.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Professional		$295.70	$295.70	$295.70
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 $842.91 / $1,072.94 / $1,645.84	Professional		$842.91	$1,072.94	$1,645.84
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 $7,729.93 / $7,794.98 / $8,039.12	Professional		$7,729.93	$7,794.98	$8,039.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $684.63 / $949.17 / $1,368.93	Facility		$684.63	$949.17	$1,368.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $862.03 / $5,306.00 / $6,634.00	Professional		$862.03	$5,306.00	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.63 / $953.68 / $1,468.23	Facility		$684.63	$953.68	$1,468.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $857.62 / $1,123.29 / $1,679.39	Professional		$857.62	$1,123.29	$1,679.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,166.00 / $10,600.00	Facility		$1,634.00	$4,166.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.28 / $952.04 / $1,389.93	Professional		$716.28	$952.04	$1,389.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $834.10 / $834.10 / $1,126.04	Professional		$834.10	$834.10	$1,126.04