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 $1,556.74 / $1,871.28 / $2,371.13	Professional		$1,556.74	$1,871.28	$2,371.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,338.79 / $7,712.34 / $14,231.23	Facility		$4,338.79	$7,712.34	$14,231.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,559.32 / $1,973.71 / $2,248.80	Professional		$1,559.32	$1,973.71	$2,248.80
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,462.86 / $1,462.86 / $1,462.86	Facility		$1,462.86	$1,462.86	$1,462.86
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 $1,702.10 / $2,218.16 / $3,400.58	Professional		$1,702.10	$2,218.16	$3,400.58
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 $12,128.24 / $12,499.76 / $14,113.05	Professional		$12,128.24	$12,499.76	$14,113.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,628.70 / $1,931.39 / $3,618.44	Facility		$1,628.70	$1,931.39	$3,618.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.29 / $2,497.77 / $2,938.55	Professional		$2,122.29	$2,497.77	$2,938.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,628.70 / $1,975.18 / $4,347.13	Facility		$1,628.70	$1,975.18	$4,347.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,707.21 / $2,249.60 / $3,562.13	Professional		$1,707.21	$2,249.60	$3,562.13
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 $1,382.09 / $1,900.37 / $2,936.94	Professional		$1,382.09	$1,900.37	$2,936.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,393.32 / $1,580.75 / $2,205.23	Professional		$1,393.32	$1,580.75	$2,205.23