Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.66 / $2,986.00 / $10,234.00	Facility		$625.66	$2,986.00	$10,234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $488.00 / $651.29	Professional		$343.99	$488.00	$651.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.88 / $693.50 / $1,576.94	Facility		$379.88	$693.50	$1,576.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $482.01 / $720.54	Professional		$333.96	$482.01	$720.54
Christus Facility/Professional Facility Modifier Low / Median / High Price $351.44 / $351.44 / $552.77	Facility		$351.44	$351.44	$552.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.60 / $538.61 / $782.06	Professional		$373.60	$538.61	$782.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,518.98 / $26,542.00 / $26,542.00	Facility		$2,518.98	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.32 / $3,750.56 / $4,426.88	Professional		$2,648.32	$3,750.56	$4,426.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.20 / $501.65 / $740.11	Facility		$346.20	$501.65	$740.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.40 / $667.22 / $945.18	Professional		$448.40	$667.22	$945.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.65 / $503.00 / $752.54	Facility		$345.65	$503.00	$752.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $386.09 / $551.21 / $922.32	Professional		$386.09	$551.21	$922.32
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $950.00 / $2,290.00	Facility		$161.00	$950.00	$2,290.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.56 / $523.58 / $798.13	Professional		$393.56	$523.58	$798.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $433.70 / $487.82 / $682.95	Professional		$433.70	$487.82	$682.95