Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.00 / $3,102.00 / $10,546.00	Facility		$748.00	$3,102.00	$10,546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.64 / $1,052.04 / $1,981.96	Professional		$330.64	$1,052.04	$1,981.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,455.73 / $4,406.34 / $8,175.28	Facility		$2,455.73	$4,406.34	$8,175.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.68 / $1,199.28 / $2,210.87	Professional		$307.68	$1,199.28	$2,210.87
Christus Facility/Professional Facility Modifier Low / Median / High Price $310.37 / $310.37 / $310.37	Facility		$310.37	$310.37	$310.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.46 / $2,280.46 / $2,280.46	Facility		$2,280.46	$2,280.46	$2,280.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.71 / $684.48 / $2,100.19	Professional		$367.71	$684.48	$2,100.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,574.50 / $26,542.00 / $26,542.00	Facility		$2,574.50	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,265.00 / $10,208.65 / $11,740.13	Professional		$5,265.00	$10,208.65	$11,740.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $348.01 / $1,274.11 / $2,496.01	Facility		$348.01	$1,274.11	$2,496.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $1,740.90 / $2,343.51	Professional		$421.34	$1,740.90	$2,343.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.01 / $1,307.79 / $2,632.91	Facility		$348.01	$1,307.79	$2,632.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.76 / $951.41 / $2,449.17	Professional		$367.76	$951.41	$2,449.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,476.00	Facility		$1,634.00	$4,345.00	$10,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.39 / $1,496.76 / $2,465.08	Professional		$1,063.39	$1,496.76	$2,465.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,142.92 / $1,274.11 / $1,814.01	Professional		$1,142.92	$1,274.11	$1,814.01