Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.47 / $3,925.00 / $13,401.00	Facility		$1,047.47	$3,925.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.01 / $1,047.47 / $1,630.94	Professional		$920.01	$1,047.47	$1,630.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,374.98 / $4,243.25 / $7,916.62	Facility		$2,374.98	$4,243.25	$7,916.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.20 / $821.84 / $1,352.76	Professional		$728.20	$821.84	$1,352.76
Christus Facility/Professional Facility Modifier Low / Median / High Price $899.99 / $899.99 / $915.21	Facility		$899.99	$899.99	$915.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.64 / $1,277.65 / $1,860.44	Professional		$1,006.64	$1,277.65	$1,860.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,220.24 / $26,542.00 / $26,542.00	Facility		$8,220.24	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,414.16 / $7,552.64 / $8,755.20	Professional		$7,414.16	$7,552.64	$8,755.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $963.09 / $1,167.28 / $1,617.00	Facility		$963.09	$1,167.28	$1,617.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.98 / $1,609.57 / $2,011.96	Professional		$1,005.98	$1,609.57	$2,011.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.09 / $1,173.45 / $1,774.82	Facility		$963.09	$1,173.45	$1,774.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,035.78 / $1,366.23 / $2,070.17	Professional		$1,035.78	$1,366.23	$2,070.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $5,931.00 / $13,134.00	Facility		$2,093.00	$5,931.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.41 / $1,076.55 / $1,587.57	Professional		$807.41	$1,076.55	$1,587.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.57 / $975.88 / $1,354.93	Professional		$858.57	$975.88	$1,354.93