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 / $606.38	Professional		$367.50	$367.50	$606.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,509.15 / $2,612.61 / $5,501.09	Facility		$1,509.15	$2,612.61	$5,501.09
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 $207.00 / $501.00 / $595.00	Professional		$207.00	$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 $2,493.59 / $2,493.59 / $2,575.88	Professional		$2,493.59	$2,493.59	$2,575.88
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 $3,330.00 / $3,330.00 / $3,879.00	Professional		$3,330.00	$3,330.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $1,043.10	Facility		$367.50	$367.50	$1,043.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $258.00 / $595.00	Professional		$207.00	$258.00	$595.00
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.15 / $211.15 / $285.05	Professional		$211.15	$211.15	$285.05