Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,673.00 / $7,542.00	Facility		$657.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.36 / $482.04 / $771.41	Professional		$422.36	$482.04	$771.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,553.66 / $3,594.28 / $6,376.95	Facility		$1,553.66	$3,594.28	$6,376.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.46 / $541.63 / $759.72	Professional		$437.46	$541.63	$759.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $446.74 / $452.08	Facility		$80.00	$446.74	$452.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.70 / $545.70 / $545.70	Facility		$545.70	$545.70	$545.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $616.16 / $942.47	Professional		$461.62	$616.16	$942.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $6,817.20	Facility		$55.00	$55.00	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,480.96 / $3,539.20 / $4,150.13	Professional		$3,480.96	$3,539.20	$4,150.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.85 / $542.45 / $964.02	Facility		$428.85	$542.45	$964.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $593.15 / $711.78 / $882.61	Professional		$593.15	$711.78	$882.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.21 / $549.23 / $1,011.94	Facility		$437.21	$549.23	$1,011.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $471.23 / $636.84 / $975.43	Professional		$471.23	$636.84	$975.43
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $506.65 / $803.20	Professional		$372.08	$506.65	$803.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $404.99 / $458.66 / $639.10	Professional		$404.99	$458.66	$639.10