Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $3,682.00 / $12,281.00	Facility		$975.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.75 / $1,029.16 / $1,593.53	Professional		$873.75	$1,029.16	$1,593.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,560.46 / $4,733.89 / $8,663.91	Facility		$2,560.46	$4,733.89	$8,663.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.03 / $1,309.99 / $1,878.63	Professional		$1,058.03	$1,309.99	$1,878.63
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,018.69 / $1,018.69 / $1,033.29	Facility		$1,018.69	$1,018.69	$1,033.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.15 / $1,342.24 / $1,947.64	Professional		$1,077.15	$1,342.24	$1,947.64
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 $8,351.84 / $8,517.52 / $9,868.65	Professional		$8,351.84	$8,517.52	$9,868.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.91 / $1,249.48 / $1,710.77	Facility		$1,025.91	$1,249.48	$1,710.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.42 / $1,813.47 / $2,266.84	Professional		$1,133.42	$1,813.47	$2,266.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,026.75 / $1,254.16 / $1,793.63	Facility		$1,026.75	$1,254.16	$1,793.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,093.28 / $1,455.84 / $2,242.15	Professional		$1,093.28	$1,455.84	$2,242.15
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 $894.95 / $1,198.90 / $1,738.41	Professional		$894.95	$1,198.90	$1,738.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $967.34 / $1,098.13 / $1,527.17	Professional		$967.34	$1,098.13	$1,527.17