Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,941.00	Facility		$921.00	$3,682.00	$12,941.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,523.50 / $5,523.50 / $7,103.00	Facility	50	$5,523.50	$5,523.50	$7,103.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $2,337.69 / $3,301.74	Professional		$166.78	$2,337.69	$3,301.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,730.03 / $7,985.10 / $15,919.34	Facility		$4,730.03	$7,985.10	$15,919.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $1,971.74 / $3,940.85	Professional		$156.25	$1,971.74	$3,940.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $5,227.87 / $5,227.87	Facility		$142.94	$5,227.87	$5,227.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,035.41 / $6,035.41 / $6,035.41	Facility		$6,035.41	$6,035.41	$6,035.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $357.57 / $4,698.54	Professional		$182.40	$357.57	$4,698.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,156.92	Facility		$55.00	$55.00	$1,156.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.68 / $3,050.76 / $20,156.09	Professional		$1,225.68	$3,050.76	$20,156.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $675.01 / $4,224.93	Facility		$166.37	$675.01	$4,224.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.03 / $2,538.01 / $4,037.74	Professional		$214.03	$2,538.01	$4,037.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $1,950.30 / $5,735.47	Facility		$166.37	$1,950.30	$5,735.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $475.00 / $4,891.72	Professional		$186.76	$475.00	$4,891.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,553.56 / $3,539.13 / $5,469.56	Professional		$2,553.56	$3,539.13	$5,469.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,969.19 / $2,185.21 / $3,134.85	Professional		$1,969.19	$2,185.21	$3,134.85