Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,941.00	Facility		$945.00	$3,682.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.52 / $750.00 / $2,899.00	Professional		$550.52	$750.00	$2,899.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.78 / $323.79 / $718.85	Facility		$166.78	$323.79	$718.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $385.00 / $385.00	Professional		$385.00	$385.00	$385.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,653.32 / $2,653.32 / $2,653.32	Professional		$2,653.32	$2,653.32	$2,653.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,925.00 / $2,925.00 / $2,925.00	Professional		$2,925.00	$2,925.00	$2,925.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,405.00	Facility		$161.00	$950.00	$2,405.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00