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 $692.94 / $850.79 / $1,307.70	Professional		$692.94	$850.79	$1,307.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.70 / $909.70 / $1,267.41	Professional		$718.70	$909.70	$1,267.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $811.59 / $811.59 / $822.28	Facility		$811.59	$811.59	$822.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.36 / $1,074.77 / $1,545.56	Professional		$839.36	$1,074.77	$1,545.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.84 / $26,542.00 / $26,542.00	Facility		$6,309.84	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,635.04 / $6,763.20 / $7,836.90	Professional		$6,635.04	$6,763.20	$7,836.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $813.12 / $984.80 / $1,356.04	Facility		$813.12	$984.80	$1,356.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $900.20 / $1,440.32 / $1,800.40	Professional		$900.20	$1,440.32	$1,800.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.12 / $994.40 / $1,413.21	Facility		$813.12	$994.40	$1,413.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.17 / $1,141.55 / $1,790.66	Professional		$852.17	$1,141.55	$1,790.66
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 $703.58 / $949.52 / $1,379.18	Professional		$703.58	$949.52	$1,379.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $768.29 / $871.80 / $1,213.22	Professional		$768.29	$871.80	$1,213.22