Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.00 / $2,153.00 / $7,316.00	Facility		$428.00	$2,153.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $41.20 / $65.70	Professional		$34.56	$41.20	$65.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.76 / $780.32 / $1,684.90	Facility		$372.76	$780.32	$1,684.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $51.81 / $72.73	Professional		$41.15	$51.81	$72.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $38.21 / $40.63	Facility		$38.21	$38.21	$40.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $56.44 / $96.38	Professional		$42.98	$56.44	$96.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,343.85	Facility		$55.00	$55.00	$1,343.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $573.14 / $622.48 / $643.02	Professional		$573.14	$622.48	$643.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $54.76 / $128.38	Facility		$41.20	$54.76	$128.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $65.81 / $86.04	Professional		$43.02	$65.81	$86.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $54.76 / $134.51	Facility		$41.20	$54.76	$134.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $60.15 / $97.56	Professional		$44.97	$60.15	$97.56
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $48.36 / $72.54	Professional		$36.27	$48.36	$72.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $42.14 / $57.90	Professional		$36.72	$42.14	$57.90