Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $4,132.00 / $17,181.00	Facility		$803.00	$4,132.00	$17,181.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.01 / $317.85 / $385.51	Professional		$274.01	$317.85	$385.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $329.21 / $458.67	Professional		$260.08	$329.21	$458.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $246.61 / $246.61 / $246.61	Facility		$246.61	$246.61	$246.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.43 / $376.29 / $594.17	Professional		$294.43	$376.29	$594.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $2,223.90	Facility		$55.00	$55.00	$2,223.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.00 / $2,047.52 / $2,423.48	Professional		$1,998.00	$2,047.52	$2,423.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $272.86 / $323.87 / $662.22	Facility		$272.86	$323.87	$662.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $357.85 / $412.91 / $481.72	Professional		$357.85	$412.91	$481.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $272.86 / $325.35 / $725.09	Facility		$272.86	$325.35	$725.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.43 / $391.46 / $643.98	Professional		$294.43	$391.46	$643.98
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.57 / $306.14 / $496.33	Professional		$233.57	$306.14	$496.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.93 / $269.29 / $368.06	Professional		$234.93	$269.29	$368.06