Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.00 / $3,669.00 / $12,040.00	Facility		$983.00	$3,669.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.86 / $1,652.85 / $2,113.21	Professional		$1,372.86	$1,652.85	$2,113.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,353.00 / $7,712.34 / $14,309.06	Facility		$4,353.00	$7,712.34	$14,309.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,379.25 / $1,745.80 / $1,989.12	Professional		$1,379.25	$1,745.80	$1,989.12
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,295.97 / $1,295.97 / $1,295.97	Facility		$1,295.97	$1,295.97	$1,295.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,187.68 / $4,187.68 / $4,187.68	Facility		$4,187.68	$4,187.68	$4,187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.06 / $1,957.88 / $2,962.16	Professional		$1,493.06	$1,957.88	$2,962.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $16,547.20	Facility		$55.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,797.68 / $11,082.32 / $12,560.10	Professional		$10,797.68	$11,082.32	$12,560.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.88 / $1,690.57 / $3,168.42	Facility		$1,445.88	$1,690.57	$3,168.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.33 / $2,223.59 / $2,615.98	Professional		$1,889.33	$2,223.59	$2,615.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.88 / $1,736.50 / $3,845.15	Facility		$1,445.88	$1,736.50	$3,845.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,503.99 / $1,972.33 / $3,119.82	Professional		$1,503.99	$1,972.33	$3,119.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,002.00 / $13,134.00	Facility		$2,093.00	$6,002.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.06 / $1,669.33 / $2,579.87	Professional		$1,214.06	$1,669.33	$2,579.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,240.36 / $1,408.81 / $1,962.44	Professional		$1,240.36	$1,408.81	$1,962.44