Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,947.00 / $14,494.00	Facility		$803.00	$3,947.00	$14,494.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.60 / $471.77 / $564.02	Professional		$401.60	$471.77	$564.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.78 / $636.39 / $679.59	Professional		$487.78	$636.39	$679.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $364.40 / $364.40 / $364.40	Facility		$364.40	$364.40	$364.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.24 / $571.39 / $903.67	Professional		$435.24	$571.39	$903.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,978.99	Facility		$55.00	$55.00	$1,978.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,955.84 / $3,035.92 / $3,574.80	Professional		$2,955.84	$3,035.92	$3,574.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.27 / $477.87 / $980.39	Facility		$403.27	$477.87	$980.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $609.90 / $711.55	Professional		$528.58	$609.90	$711.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.27 / $480.05 / $1,074.33	Facility		$403.27	$480.05	$1,074.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.83 / $596.60 / $979.95	Professional		$434.83	$596.60	$979.95
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 $358.30 / $470.26 / $740.08	Professional		$358.30	$470.26	$740.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $397.82 / $543.87	Professional		$347.02	$397.82	$543.87