Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.02 / $3,596.00 / $10,836.00	Facility		$949.02	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.85 / $1,079.84 / $1,289.35	Professional		$913.85	$1,079.84	$1,289.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,005.86 / $1,683.28 / $6,055.00	Facility		$1,005.86	$1,683.28	$6,055.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.22 / $1,067.33 / $1,503.93	Professional		$875.22	$1,067.33	$1,503.93
Christus Facility/Professional Facility Modifier Low / Median / High Price $832.72 / $832.72 / $832.72	Facility		$832.72	$832.72	$832.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.69 / $1,299.36 / $2,083.69	Professional		$993.69	$1,299.36	$2,083.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,807.51	Facility		$55.00	$55.00	$11,807.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,754.24 / $6,937.52 / $8,177.70	Professional		$6,754.24	$6,937.52	$8,177.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $921.83 / $1,093.06 / $2,230.90	Facility		$921.83	$1,093.06	$2,230.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.53 / $1,394.46 / $1,626.87	Professional		$1,208.53	$1,394.46	$1,626.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $921.83 / $1,098.03 / $2,456.73	Facility		$921.83	$1,098.03	$2,456.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.69 / $1,349.81 / $2,265.69	Professional		$993.69	$1,349.81	$2,265.69
United Facility/Professional Facility Modifier Low / Median / High Price $495.00 / $2,547.00 / $9,000.00	Facility		$495.00	$2,547.00	$9,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.26 / $1,079.22 / $1,696.43	Professional		$822.26	$1,079.22	$1,696.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $909.53 / $1,243.31	Professional		$793.42	$909.53	$1,243.31