Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $3,219.00 / $10,893.00	Facility		$767.00	$3,219.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.29 / $588.69 / $878.30	Professional		$483.29	$588.69	$878.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,280.63 / $2,196.16 / $4,776.64	Facility		$1,280.63	$2,196.16	$4,776.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.28 / $691.97 / $1,017.38	Professional		$520.28	$691.97	$1,017.38
Christus Facility/Professional Facility Modifier Low / Median / High Price $572.46 / $572.46 / $578.01	Facility		$572.46	$572.46	$578.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.39 / $715.65 / $1,073.48	Professional		$579.39	$715.65	$1,073.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,017.35 / $26,542.00 / $26,542.00	Facility		$4,017.35	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,617.28 / $4,710.00 / $5,457.15	Professional		$4,617.28	$4,710.00	$5,457.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $559.38 / $685.62 / $938.70	Facility		$559.38	$685.62	$938.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $626.54 / $1,002.48 / $1,253.09	Professional		$626.54	$1,002.48	$1,253.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $559.38 / $691.10 / $958.99	Facility		$559.38	$691.10	$958.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.46 / $770.73 / $1,211.71	Professional		$588.46	$770.73	$1,211.71
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 $468.15 / $624.20 / $933.98	Professional		$468.15	$624.20	$933.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $534.74 / $605.85 / $844.83	Professional		$534.74	$605.85	$844.83