Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,212.40 / $10,893.00	Facility		$759.00	$3,212.40	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $656.25 / $1,050.00	Professional		$656.25	$656.25	$1,050.00
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 $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 $3,840.00 / $3,840.00 / $3,840.00	Professional		$3,840.00	$3,840.00	$3,840.00
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 / $1,174.42	Facility		$656.25	$656.25	$1,174.42
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 $211.15 / $211.15 / $285.05	Professional		$211.15	$211.15	$285.05