Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.84 / $3,596.00 / $10,836.00	Facility		$617.84	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.07 / $459.29 / $550.26	Professional		$400.07	$459.29	$550.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.28 / $473.75 / $660.04	Professional		$374.28	$473.75	$660.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $370.29 / $370.29 / $370.29	Facility		$370.29	$370.29	$370.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.07 / $561.71 / $878.02	Professional		$424.07	$561.71	$878.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,897.67	Facility		$55.00	$55.00	$1,897.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,042.84 / $4,042.84 / $4,042.84	Professional		$4,042.84	$4,042.84	$4,042.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.46 / $510.06 / $924.47	Facility		$405.46	$510.06	$924.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.59 / $591.45 / $690.03	Professional		$512.59	$591.45	$690.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.46 / $523.40 / $1,135.56	Facility		$405.46	$523.40	$1,135.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.07 / $578.75 / $882.78	Professional		$424.07	$578.75	$882.78
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 $345.84 / $461.12 / $733.60	Professional		$345.84	$461.12	$733.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $386.15 / $526.30	Professional		$336.52	$386.15	$526.30