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 $690.54 / $858.17 / $1,384.44	Professional		$690.54	$858.17	$1,384.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,017.43 / $3,663.85 / $7,026.24	Facility		$2,017.43	$3,663.85	$7,026.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.10 / $917.52 / $1,419.74	Professional		$722.10	$917.52	$1,419.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $821.20 / $821.20 / $833.71	Facility		$821.20	$821.20	$833.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.02 / $1,092.81 / $1,634.65	Professional		$861.02	$1,092.81	$1,634.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $26,542.00 / $26,542.00	Facility		$6,817.20	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,708.00 / $6,791.44 / $7,945.28	Professional		$6,708.00	$6,791.44	$7,945.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.68 / $1,015.90 / $1,385.94	Facility		$812.68	$1,015.90	$1,385.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $911.52 / $1,458.43 / $1,823.04	Professional		$911.52	$1,458.43	$1,823.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.68 / $1,024.77 / $1,518.43	Facility		$812.68	$1,024.77	$1,518.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.91 / $1,176.18 / $1,830.11	Professional		$874.91	$1,176.18	$1,830.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.65 / $958.53 / $1,458.49	Professional		$714.65	$958.53	$1,458.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $777.95 / $883.39 / $1,227.61	Professional		$777.95	$883.39	$1,227.61