Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,219.00 / $10,893.00	Facility		$732.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $466.73	Professional		$367.50	$367.50	$466.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,493.64 / $4,663.00 / $8,872.32	Facility		$2,493.64	$4,663.00	$8,872.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.83 / $206.83 / $243.33	Professional		$206.83	$206.83	$243.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $501.00 / $595.00	Professional		$345.00	$501.00	$595.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $2,371.01	Professional		$2,295.27	$2,295.27	$2,371.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $525.53	Facility		$367.50	$367.50	$525.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,306.00 / $5,306.00 / $6,634.00	Professional		$5,306.00	$5,306.00	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $525.53	Facility		$367.50	$367.50	$525.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $430.00 / $595.00	Professional		$345.00	$430.00	$595.00
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $203.75 / $275.06	Professional		$203.75	$203.75	$275.06