Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,219.00 / $10,893.00	Facility		$803.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.97 / $843.39 / $1,358.55	Professional		$713.97	$843.39	$1,358.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.75 / $1,029.08 / $1,542.64	Professional		$773.75	$1,029.08	$1,542.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $866.37 / $866.37 / $879.59	Facility		$866.37	$866.37	$879.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.87 / $1,120.60 / $1,660.45	Professional		$896.87	$1,120.60	$1,660.45
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 $7,118.80 / $7,262.32 / $8,407.28	Professional		$7,118.80	$7,262.32	$8,407.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $843.39 / $1,056.65 / $1,445.90	Facility		$843.39	$1,056.65	$1,445.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $965.87 / $1,545.39 / $1,931.74	Professional		$965.87	$1,545.39	$1,931.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.39 / $1,066.33 / $1,516.17	Facility		$843.39	$1,066.33	$1,516.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $910.44 / $1,210.05 / $1,892.83	Professional		$910.44	$1,210.05	$1,892.83
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
United Facility/Professional Professional Modifier Low / Median / High Price $739.21 / $985.61 / $1,447.65	Professional		$739.21	$985.61	$1,447.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $824.34 / $936.20 / $1,301.31	Professional		$824.34	$936.20	$1,301.31