Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,630.00 / $7,542.00	Facility		$669.00	$2,630.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.16 / $599.97 / $897.68	Professional		$491.16	$599.97	$897.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,824.42 / $3,478.34 / $7,118.99	Facility		$1,824.42	$3,478.34	$7,118.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.39 / $647.25 / $857.93	Professional		$509.39	$647.25	$857.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $583.60 / $583.60 / $589.34	Facility		$583.60	$583.60	$589.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.42 / $742.42 / $1,080.73	Professional		$587.42	$742.42	$1,080.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,716.32 / $4,801.92 / $5,576.55	Professional		$4,716.32	$4,801.92	$5,576.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $567.29 / $689.68 / $956.42	Facility		$567.29	$689.68	$956.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.14 / $1,024.22 / $1,280.28	Professional		$640.14	$1,024.22	$1,280.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.29 / $689.68 / $959.59	Facility		$567.29	$689.68	$959.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.17 / $772.28 / $1,221.70	Professional		$596.17	$772.28	$1,221.70
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 $494.09 / $660.96 / $1,015.60	Professional		$494.09	$660.96	$1,015.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $546.34 / $619.07 / $863.04	Professional		$546.34	$619.07	$863.04