Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.46 / $3,647.00 / $12,281.00	Facility		$942.46	$3,647.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.81 / $983.44 / $1,494.89	Professional		$800.81	$983.44	$1,494.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.92 / $4,644.57 / $8,872.32	Facility		$2,500.92	$4,644.57	$8,872.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.29 / $1,201.35 / $1,352.12	Professional		$970.29	$1,201.35	$1,352.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $942.75 / $942.75 / $955.32	Facility		$942.75	$942.75	$955.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.85 / $1,207.97 / $1,802.72	Professional		$970.85	$1,207.97	$1,802.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,102.00 / $26,542.00 / $26,542.00	Facility		$11,102.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,234.62 / $9,234.62 / $9,234.62	Professional		$9,234.62	$9,234.62	$9,234.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.73 / $1,137.74 / $1,574.61	Facility		$926.73	$1,137.74	$1,574.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.17 / $1,669.07 / $2,086.34	Professional		$1,043.17	$1,669.07	$2,086.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.73 / $1,139.11 / $1,659.21	Facility		$926.73	$1,139.11	$1,659.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $986.81 / $1,305.38 / $2,088.60	Professional		$986.81	$1,305.38	$2,088.60
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 $780.34 / $1,040.45 / $1,586.98	Professional		$780.34	$1,040.45	$1,586.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $890.31 / $1,010.34 / $1,405.71	Professional		$890.31	$1,010.34	$1,405.71