Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.85 / $2,768.00 / $7,542.00	Facility		$675.85	$2,768.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.04 / $644.46 / $898.07	Professional		$605.04	$644.46	$898.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,122.95 / $7,518.32 / $14,448.17	Facility		$4,122.95	$7,518.32	$14,448.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.70 / $627.29 / $851.54	Professional		$493.70	$627.29	$851.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $541.37 / $541.37 / $547.96	Facility		$541.37	$541.37	$547.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $790.31 / $1,197.42	Professional		$636.29	$790.31	$1,197.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $16,394.00 / $16,547.20	Facility		$11,500.00	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,414.54 / $6,414.54 / $6,414.54	Professional		$6,414.54	$6,414.54	$6,414.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $595.79 / $760.23 / $1,094.11	Facility		$595.79	$760.23	$1,094.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.52 / $986.43 / $1,233.04	Professional		$616.52	$986.43	$1,233.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.79 / $763.36 / $1,247.11	Facility		$595.79	$763.36	$1,247.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.17 / $823.90 / $1,268.33	Professional		$640.17	$823.90	$1,268.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.90 / $639.91 / $973.24	Professional		$479.90	$639.91	$973.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.17 / $598.71 / $832.05	Professional		$526.17	$598.71	$832.05