Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.24 / $741.17 / $1,138.13	Professional		$604.24	$741.17	$1,138.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.82 / $795.18 / $1,230.45	Professional		$625.82	$795.18	$1,230.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $711.74 / $711.74 / $719.92	Facility		$711.74	$711.74	$719.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.02 / $929.30 / $1,398.87	Professional		$729.02	$929.30	$1,398.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,102.00 / $26,542.00 / $26,542.00	Facility		$11,102.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,778.00 / $5,890.96 / $6,828.30	Professional		$5,778.00	$5,890.96	$6,828.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $708.34 / $866.02 / $1,198.30	Facility		$708.34	$866.02	$1,198.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $784.08 / $1,254.53 / $1,568.16	Professional		$784.08	$1,254.53	$1,568.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.34 / $872.56 / $1,300.95	Facility		$708.34	$872.56	$1,300.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.79 / $1,009.58 / $1,575.39	Professional		$748.79	$1,009.58	$1,575.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.70 / $822.84 / $1,234.26	Professional		$616.70	$822.84	$1,234.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $669.19 / $758.75 / $1,056.94	Professional		$669.19	$758.75	$1,056.94