Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,481.00 / $11,139.00	Facility		$882.00	$3,481.00	$11,139.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.99 / $1,698.60 / $2,510.75	Professional		$165.99	$1,698.60	$2,510.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,997.86 / $4,453.43 / $8,210.08	Facility		$1,997.86	$4,453.43	$8,210.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.82 / $1,041.60 / $3,351.77	Professional		$193.82	$1,041.60	$3,351.77
Christus Facility/Professional Facility Modifier Low / Median / High Price $189.41 / $189.41 / $189.41	Facility		$189.41	$189.41	$189.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.86 / $3,483.86 / $3,483.86	Facility		$3,483.86	$3,483.86	$3,483.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $1,548.31 / $4,281.31	Professional		$229.94	$1,548.31	$4,281.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $998.64	Facility		$55.00	$55.00	$998.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,151.68 / $15,827.41 / $18,523.88	Professional		$8,151.68	$15,827.41	$18,523.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.33 / $1,923.47 / $3,856.94	Facility		$200.33	$1,923.47	$3,856.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $2,327.36 / $3,808.40	Professional		$265.33	$2,327.36	$3,808.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.37 / $1,933.09 / $4,500.31	Facility		$201.37	$1,933.09	$4,500.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.37 / $2,091.82 / $4,466.43	Professional		$233.37	$2,091.82	$4,466.43
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 $1,852.22 / $2,756.09 / $4,547.64	Professional		$1,852.22	$2,756.09	$4,547.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,805.75 / $2,005.65 / $2,871.61	Professional		$1,805.75	$2,005.65	$2,871.61