Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.02 / $1,705.95 / $2,037.81	Professional		$1,446.02	$1,705.95	$2,037.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.79 / $1,757.88 / $2,449.11	Professional		$1,388.79	$1,757.88	$2,449.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,410.86 / $1,410.86 / $1,410.86	Facility		$1,410.86	$1,410.86	$1,410.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,573.82 / $2,032.10 / $3,180.98	Professional		$1,573.82	$2,032.10	$3,180.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $44,094.44	Facility		$55.00	$55.00	$44,094.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,938.86 / $13,938.86 / $13,938.86	Professional		$13,938.86	$13,938.86	$13,938.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,508.48 / $1,891.00 / $3,413.69	Facility		$1,508.48	$1,891.00	$3,413.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,912.04 / $2,206.19 / $2,573.90	Professional		$1,912.04	$2,206.19	$2,573.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,508.48 / $1,896.02 / $4,206.26	Facility		$1,508.48	$1,896.02	$4,206.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,573.82 / $2,085.31 / $3,482.59	Professional		$1,573.82	$2,085.31	$3,482.59
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 $1,285.94 / $1,687.80 / $2,652.28	Professional		$1,285.94	$1,687.80	$2,652.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,255.28 / $1,436.65 / $1,965.92	Professional		$1,255.28	$1,436.65	$1,965.92