Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.00 / $2,783.00 / $7,542.00	Facility		$662.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.15 / $534.69 / $858.82	Professional		$459.15	$534.69	$858.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,581.80 / $2,753.95 / $5,456.92	Facility		$1,581.80	$2,753.95	$5,456.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.56 / $617.13 / $840.95	Professional		$487.56	$617.13	$840.95
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $489.77 / $495.06	Facility		$80.00	$489.77	$495.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $601.13 / $601.13	Facility		$601.13	$601.13	$601.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.89 / $675.19 / $1,030.27	Professional		$501.89	$675.19	$1,030.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,479.05 / $11,500.00 / $16,394.00	Facility		$2,479.05	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,480.39 / $4,480.39 / $4,571.93	Professional		$4,480.39	$4,480.39	$4,571.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.31 / $601.72 / $1,045.72	Facility		$489.31	$601.72	$1,045.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $653.40 / $784.08 / $972.26	Professional		$653.40	$784.08	$972.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.07 / $618.27 / $1,133.18	Facility		$492.07	$618.27	$1,133.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $701.17 / $1,070.08	Professional		$519.15	$701.17	$1,070.08
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,064.00 / $4,509.00	Facility		$600.00	$2,064.00	$4,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.12 / $542.87 / $851.34	Professional		$404.12	$542.87	$851.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $505.00 / $704.13	Professional		$446.13	$505.00	$704.13