Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.86 / $3,620.00 / $12,040.00	Facility		$851.86	$3,620.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.98 / $600.51 / $811.53	Professional		$501.98	$600.51	$811.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.54 / $8,214.94 / $15,954.48	Facility		$4,134.54	$8,214.94	$15,954.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.87 / $632.71 / $720.89	Professional		$499.87	$632.71	$720.89
Christus Facility/Professional Facility Modifier Low / Median / High Price $453.42 / $453.42 / $453.42	Facility		$453.42	$453.42	$453.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,482.15 / $3,482.15 / $3,482.15	Facility		$3,482.15	$3,482.15	$3,482.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.32 / $727.93 / $1,132.08	Professional		$552.32	$727.93	$1,132.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,976.00 / $4,976.00 / $4,976.00	Professional		$4,976.00	$4,976.00	$4,976.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $527.57 / $717.74 / $1,204.88	Facility		$527.57	$717.74	$1,204.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $808.67 / $951.37	Professional		$687.10	$808.67	$951.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.57 / $742.57 / $1,496.95	Facility		$527.57	$742.57	$1,496.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $557.58 / $747.70 / $1,153.72	Professional		$557.58	$747.70	$1,153.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.29 / $620.03 / $951.65	Professional		$453.29	$620.03	$951.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.09 / $516.28 / $712.22	Professional		$451.09	$516.28	$712.22