Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $2,783.00 / $7,542.00	Facility		$669.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.75 / $577.23 / $909.54	Professional		$492.75	$577.23	$909.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.22 / $2,682.19 / $5,295.60	Facility		$1,530.22	$2,682.19	$5,295.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.34 / $608.41 / $912.80	Professional		$526.34	$608.41	$912.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $525.16 / $531.71	Facility		$80.00	$525.16	$531.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.62 / $647.62 / $647.62	Facility		$647.62	$647.62	$647.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.73 / $730.73 / $1,094.24	Professional		$527.73	$730.73	$1,094.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,671.45 / $11,500.00 / $16,394.00	Facility		$2,671.45	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,480.39 / $4,480.39 / $4,923.08	Professional		$4,480.39	$4,480.39	$4,923.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.99 / $646.12 / $1,067.54	Facility		$522.99	$646.12	$1,067.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $703.94 / $844.73 / $1,047.46	Professional		$703.94	$844.73	$1,047.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.49 / $659.42 / $1,200.13	Facility		$523.49	$659.42	$1,200.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $539.36 / $759.59 / $1,152.97	Professional		$539.36	$759.59	$1,152.97
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $2,478.00 / $4,739.00	Facility		$745.00	$2,478.00	$4,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.95 / $583.92 / $941.88	Professional		$437.95	$583.92	$941.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $480.63 / $544.47 / $758.48	Professional		$480.63	$544.47	$758.48