Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,487.00 / $7,513.00	Facility		$689.00	$2,487.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $825.00 / $2,597.60	Professional		$100.25	$825.00	$2,597.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.11 / $1,210.32 / $2,736.04	Facility		$724.11	$1,210.32	$2,736.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $398.90 / $398.90 / $398.90	Facility		$398.90	$398.90	$398.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $107.69 / $107.69	Professional		$107.69	$107.69	$107.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $3,330.00 / $3,879.00	Professional		$3,330.00	$3,330.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $2,530.00	Facility		$900.00	$2,277.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $107.69 / $107.69	Professional		$107.69	$107.69	$107.69
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $2,045.00 / $4,480.00	Facility		$593.00	$2,045.00	$4,480.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00