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 $763.88 / $937.92 / $1,439.31	Professional		$763.88	$937.92	$1,439.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.74 / $1,127.72 / $1,556.06	Professional		$924.74	$1,127.72	$1,556.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $894.54 / $894.54 / $906.59	Facility		$894.54	$894.54	$906.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.85 / $1,185.66 / $1,781.36	Professional		$937.85	$1,185.66	$1,781.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,102.00 / $26,542.00 / $26,542.00	Facility		$11,102.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,302.56 / $7,447.60 / $8,625.45	Professional		$7,302.56	$7,447.60	$8,625.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $896.47 / $1,092.34 / $1,496.13	Facility		$896.47	$1,092.34	$1,496.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $990.77 / $1,585.23 / $1,981.54	Professional		$990.77	$1,585.23	$1,981.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.47 / $1,095.45 / $1,550.91	Facility		$896.47	$1,095.45	$1,550.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.27 / $1,276.16 / $1,965.30	Professional		$945.27	$1,276.16	$1,965.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $783.86 / $1,045.15 / $1,557.42	Professional		$783.86	$1,045.15	$1,557.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $845.59 / $959.54 / $1,335.26	Professional		$845.59	$959.54	$1,335.26