Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.81 / $2,500.00 / $7,495.00	Facility		$661.81	$2,500.00	$7,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.27 / $754.58 / $1,139.76	Professional		$596.27	$754.58	$1,139.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,883.14 / $3,640.66 / $6,948.22	Facility		$1,883.14	$3,640.66	$6,948.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.12 / $833.74 / $1,139.31	Professional		$666.12	$833.74	$1,139.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $641.14 / $641.14 / $907.13	Facility		$641.14	$641.14	$907.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.44 / $926.54 / $1,439.76	Professional		$704.44	$926.54	$1,439.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,642.59	Facility		$55.00	$55.00	$3,642.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,198.47 / $6,272.08 / $7,416.38	Professional		$5,198.47	$6,272.08	$7,416.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.66 / $850.87 / $1,187.10	Facility		$663.66	$850.87	$1,187.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.04 / $1,191.46 / $1,582.93	Professional		$851.04	$1,191.46	$1,582.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $663.73 / $850.87 / $1,222.76	Facility		$663.73	$850.87	$1,222.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.75 / $960.82 / $1,583.95	Professional		$731.75	$960.82	$1,583.95
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.63 / $890.17 / $1,333.24	Professional		$667.63	$890.17	$1,333.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $726.34 / $820.60 / $1,148.67	Professional		$726.34	$820.60	$1,148.67