Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.00 / $3,186.00 / $10,893.00	Facility		$727.00	$3,186.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.26 / $223.99 / $289.18	Professional		$189.26	$223.99	$289.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.06 / $8,214.94 / $15,954.48	Facility		$3,917.06	$8,214.94	$15,954.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.53 / $238.97 / $386.93	Professional		$178.53	$238.97	$386.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $176.96 / $176.96 / $176.96	Facility		$176.96	$176.96	$176.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $287.07 / $478.44	Professional		$202.18	$287.07	$478.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $18,067.15	Facility		$55.00	$55.00	$18,067.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,487.52 / $1,593.90	Professional		$1,445.44	$1,487.52	$1,593.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.90 / $242.54 / $453.07	Facility		$189.90	$242.54	$453.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.42 / $290.01 / $341.19	Professional		$246.42	$290.01	$341.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.90 / $247.00 / $501.13	Facility		$189.90	$247.00	$501.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $291.92 / $515.16	Professional		$205.90	$291.92	$515.16
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 $179.46 / $249.73 / $388.83	Professional		$179.46	$249.73	$388.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $186.57 / $256.50	Professional		$161.78	$186.57	$256.50