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 / $12,480.00	Facility		$921.00	$3,682.00	$12,480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.46 / $947.26 / $1,454.45	Professional		$771.46	$947.26	$1,454.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,444.24 / $2,580.16 / $5,793.18	Facility		$1,444.24	$2,580.16	$5,793.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.70 / $1,015.92 / $1,622.43	Professional		$803.70	$1,015.92	$1,622.43
Christus Facility/Professional Facility Modifier Low / Median / High Price $903.10 / $903.10 / $915.28	Facility		$903.10	$903.10	$915.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.50 / $1,198.13 / $1,762.26	Professional		$951.50	$1,198.13	$1,762.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,186.57 / $26,542.00 / $26,542.00	Facility		$8,186.57	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,379.12 / $7,527.76 / $8,715.08	Professional		$7,379.12	$7,527.76	$8,715.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $905.22 / $1,112.65 / $1,521.77	Facility		$905.22	$1,112.65	$1,521.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.12 / $1,601.79 / $2,002.24	Professional		$1,001.12	$1,601.79	$2,002.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $906.60 / $1,116.35 / $1,669.23	Facility		$906.60	$1,116.35	$1,669.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.12 / $1,295.58 / $2,011.24	Professional		$967.12	$1,295.58	$2,011.24
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,064.00 / $4,554.00	Facility		$597.00	$2,064.00	$4,554.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.07 / $1,057.43 / $1,603.46	Professional		$793.07	$1,057.43	$1,603.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $854.43 / $969.63 / $1,349.19	Professional		$854.43	$969.63	$1,349.19