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 $1,659.99 / $1,902.92 / $2,273.61	Professional		$1,659.99	$1,902.92	$2,273.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.47 / $1,961.25 / $2,732.46	Professional		$1,549.47	$1,961.25	$2,732.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,564.68 / $1,564.68 / $1,564.68	Facility		$1,564.68	$1,564.68	$1,564.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,303.98 / $3,579.82	Professional		$1,755.00	$2,303.98	$3,579.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,213.44	Facility		$55.00	$55.00	$30,213.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,908.29 / $21,470.89 / $21,470.89	Professional		$14,908.29	$21,470.89	$21,470.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,681.26 / $2,111.94 / $3,837.02	Facility		$1,681.26	$2,111.94	$3,837.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,129.86 / $2,457.53 / $2,867.11	Professional		$2,129.86	$2,457.53	$2,867.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,681.26 / $2,165.94 / $4,711.72	Facility		$1,681.26	$2,165.94	$4,711.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,371.04 / $3,901.76	Professional		$1,755.00	$2,371.04	$3,901.76
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 $1,436.08 / $1,884.86 / $3,005.06	Professional		$1,436.08	$1,884.86	$3,005.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,398.28 / $1,601.20 / $2,189.23	Professional		$1,398.28	$1,601.20	$2,189.23