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 $704.73 / $865.62 / $1,345.19	Professional		$704.73	$865.62	$1,345.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,103.14 / $4,452.27 / $7,741.82	Facility		$1,103.14	$4,452.27	$7,741.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.10 / $1,094.39 / $1,590.74	Professional		$869.10	$1,094.39	$1,590.74
Christus Facility/Professional Facility Modifier Low / Median / High Price $843.57 / $843.57 / $853.63	Facility		$843.57	$843.57	$853.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.57 / $1,083.92 / $1,647.78	Professional		$864.57	$1,083.92	$1,647.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,608.79 / $26,542.00 / $26,542.00	Facility		$7,608.79	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,837.36 / $6,855.60 / $8,101.13	Professional		$6,837.36	$6,855.60	$8,101.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.13 / $1,027.76 / $1,417.38	Facility		$829.13	$1,027.76	$1,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $930.29 / $1,488.46 / $1,860.58	Professional		$930.29	$1,488.46	$1,860.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.56 / $1,033.49 / $1,477.03	Facility		$829.56	$1,033.49	$1,477.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $888.23 / $1,175.57 / $1,829.89	Professional		$888.23	$1,175.57	$1,829.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.39 / $953.85 / $1,447.01	Professional		$715.39	$953.85	$1,447.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $793.97 / $900.39 / $1,253.96	Professional		$793.97	$900.39	$1,253.96