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 / $12,281.00	Facility		$921.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $836.90 / $1,280.58	Professional		$682.50	$836.90	$1,280.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.35 / $892.81 / $1,187.97	Professional		$705.35	$892.81	$1,187.97
Christus Facility/Professional Facility Modifier Low / Median / High Price $801.98 / $801.98 / $810.76	Facility		$801.98	$801.98	$810.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.46 / $1,040.48 / $1,513.30	Professional		$819.46	$1,040.48	$1,513.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,217.77 / $26,542.00 / $26,542.00	Facility		$7,217.77	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,501.52 / $6,637.92 / $7,686.15	Professional		$6,501.52	$6,637.92	$7,686.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $798.23 / $972.01 / $1,321.70	Facility		$798.23	$972.01	$1,321.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $882.41 / $1,411.86 / $1,764.82	Professional		$882.41	$1,411.86	$1,764.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $798.23 / $974.47 / $1,401.62	Facility		$798.23	$974.47	$1,401.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $836.70 / $1,092.11 / $1,707.45	Professional		$836.70	$1,092.11	$1,707.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,239.00 / $7,600.00	Facility		$1,154.00	$3,239.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.00 / $927.50 / $1,364.11	Professional		$686.00	$927.50	$1,364.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $753.11 / $853.72 / $1,189.53	Professional		$753.11	$853.72	$1,189.53