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 $701.24 / $871.05 / $1,385.37	Professional		$701.24	$871.05	$1,385.37
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 $851.68 / $1,054.50 / $1,576.58	Professional		$851.68	$1,054.50	$1,576.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $823.69 / $823.69 / $836.16	Facility		$823.69	$823.69	$836.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.55 / $1,098.48 / $1,668.95	Professional		$864.55	$1,098.48	$1,668.95
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 $6,742.72 / $6,864.00 / $7,967.03	Professional		$6,742.72	$6,864.00	$7,967.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.93 / $1,056.88 / $1,391.54	Facility		$823.93	$1,056.88	$1,391.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.08 / $1,464.13 / $1,830.16	Professional		$915.08	$1,464.13	$1,830.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $823.93 / $1,056.88 / $1,400.51	Facility		$823.93	$1,056.88	$1,400.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.02 / $1,156.61 / $1,831.72	Professional		$872.02	$1,156.61	$1,831.72
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 $726.83 / $973.70 / $1,411.87	Professional		$726.83	$973.70	$1,411.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $780.99 / $887.02 / $1,232.77	Professional		$780.99	$887.02	$1,232.77