Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,213.00 / $11,453.00	Facility		$803.00	$3,213.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.49 / $981.39 / $1,582.23	Professional		$876.49	$981.39	$1,582.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.30 / $968.38 / $1,498.45	Professional		$770.30	$968.38	$1,498.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $871.91 / $912.44	Facility		$80.00	$871.91	$912.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.95 / $1,115.95 / $1,115.95	Facility		$1,115.95	$1,115.95	$1,115.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.82 / $1,318.45 / $2,012.32	Professional		$980.82	$1,318.45	$2,012.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $17,500.64	Facility		$55.00	$55.00	$17,500.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,852.64 / $7,009.20 / $8,407.35	Professional		$6,852.64	$7,009.20	$8,407.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $876.49 / $1,097.02 / $1,984.65	Facility		$876.49	$1,097.02	$1,984.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.10 / $1,424.54 / $1,766.42	Professional		$1,187.10	$1,424.54	$1,766.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $876.49 / $1,112.63 / $2,186.29	Facility		$876.49	$1,112.63	$2,186.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.27 / $1,360.30 / $2,082.09	Professional		$988.27	$1,360.30	$2,082.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,326.00 / $7,600.00	Facility		$1,154.00	$3,326.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.71 / $1,073.50 / $1,742.67	Professional		$793.71	$1,073.50	$1,742.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $810.53 / $927.19 / $1,268.65	Professional		$810.53	$927.19	$1,268.65