Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $3,188.00 / $11,453.00	Facility		$787.50	$3,188.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $656.25 / $787.50	Professional		$49.01	$656.25	$787.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,458.11 / $4,555.25 / $8,723.45	Facility		$2,458.11	$4,555.25	$8,723.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.37 / $369.37 / $434.55	Professional		$369.37	$369.37	$434.55
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 $207.00 / $895.00 / $1,062.00	Professional		$207.00	$895.00	$1,062.00
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 $3,365.79 / $3,365.79 / $3,476.86	Professional		$3,365.79	$3,365.79	$3,476.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $656.25 / $938.44	Facility		$656.25	$656.25	$938.44
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 $656.25 / $656.25 / $938.44	Facility		$656.25	$656.25	$938.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $258.00 / $1,062.00	Professional		$207.00	$258.00	$1,062.00
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 $214.24 / $214.24 / $289.22	Professional		$214.24	$214.24	$289.22