Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $3,224.00 / $10,893.00	Facility		$880.00	$3,224.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,790.54 / $2,113.59 / $3,066.13	Professional		$1,790.54	$2,113.59	$3,066.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.64 / $4,663.00 / $8,872.32	Facility		$2,493.64	$4,663.00	$8,872.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.21 / $1,008.48 / $1,008.48	Professional		$857.21	$1,008.48	$1,008.48
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 $2,209.54 / $2,804.59 / $4,304.45	Professional		$2,209.54	$2,804.59	$4,304.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,218.62 / $20,387.09 / $21,027.36	Professional		$20,218.62	$20,387.09	$21,027.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.54 / $2,490.84 / $3,591.28	Facility		$1,790.54	$2,490.84	$3,591.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,254.15 / $5,306.00 / $6,634.00	Professional		$2,254.15	$5,306.00	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,790.54 / $2,494.17 / $3,839.46	Facility		$1,790.54	$2,494.17	$3,839.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,242.63 / $2,947.46 / $4,389.79	Professional		$2,242.63	$2,947.46	$4,389.79
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 $1,867.37 / $2,489.82 / $3,635.93	Professional		$1,867.37	$2,489.82	$3,635.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,181.10 / $2,181.10 / $2,944.49	Professional		$2,181.10	$2,181.10	$2,944.49