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 $1,687.80 / $1,948.30 / $2,334.38	Professional		$1,687.80	$1,948.30	$2,334.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,574.97 / $1,855.24 / $2,735.20	Professional		$1,574.97	$1,855.24	$2,735.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,576.99 / $1,576.99 / $1,576.99	Facility		$1,576.99	$1,576.99	$1,576.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.89 / $2,373.92 / $3,796.55	Professional		$1,808.89	$2,373.92	$3,796.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,845.44	Facility		$55.00	$55.00	$30,845.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,101.20 / $12,414.72 / $14,834.18	Professional		$12,101.20	$12,414.72	$14,834.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,687.80 / $2,108.58 / $3,895.99	Facility		$1,687.80	$2,108.58	$3,895.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,180.32 / $2,515.76 / $2,935.05	Professional		$2,180.32	$2,515.76	$2,935.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,687.80 / $2,108.58 / $3,995.49	Facility		$1,687.80	$2,108.58	$3,995.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,808.89 / $2,440.48 / $3,954.99	Professional		$1,808.89	$2,440.48	$3,954.99
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 $1,484.01 / $1,953.23 / $3,120.29	Professional		$1,484.01	$1,953.23	$3,120.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,431.41 / $1,644.68 / $2,236.87	Professional		$1,431.41	$1,644.68	$2,236.87