Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,500.00 / $7,513.00	Facility		$647.00	$2,500.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $3,150.00 / $12,281.00	Professional		$975.00	$3,150.00	$12,281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $345.02 / $773.64	Facility		$187.61	$345.02	$773.64
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 $551.00 / $551.00 / $2,365.04	Professional		$551.00	$551.00	$2,365.04
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 $1,824.00 / $2,365.04 / $2,443.09	Professional		$1,824.00	$2,365.04	$2,443.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.00 / $1,036.00 / $1,036.00	Professional		$1,036.00	$1,036.00	$1,036.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,365.04 / $2,365.04 / $2,365.04	Professional		$2,365.04	$2,365.04	$2,365.04
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