Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $3,078.00 / $10,639.00	Facility		$651.00	$3,078.00	$10,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.56 / $575.52 / $819.78	Professional		$413.56	$575.52	$819.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.99 / $2,131.96 / $4,292.00	Facility		$1,038.99	$2,131.96	$4,292.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.37 / $544.42 / $813.41	Professional		$393.37	$544.42	$813.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $384.67 / $384.67 / $595.87	Facility		$384.67	$384.67	$595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.53 / $622.10 / $900.84	Professional		$444.53	$622.10	$900.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,963.76 / $26,542.00 / $26,542.00	Facility		$2,963.76	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,123.28 / $4,247.04 / $4,984.88	Professional		$3,123.28	$4,247.04	$4,984.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.64 / $579.30 / $846.86	Facility		$412.64	$579.30	$846.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $783.93 / $1,067.32	Professional		$494.38	$783.93	$1,067.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.26 / $579.30 / $853.56	Facility		$410.26	$579.30	$853.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.61 / $652.66 / $1,059.58	Professional		$457.61	$652.66	$1,059.58
United Facility/Professional Facility Modifier Low / Median / High Price $720.71 / $2,478.00 / $4,764.00	Facility		$720.71	$2,478.00	$4,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $596.55 / $901.38	Professional		$447.42	$596.55	$901.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.75 / $551.71 / $772.39	Professional		$489.75	$551.71	$772.39