Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $10,893.00	Facility		$921.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.00 / $4,573.00 / $6,003.00	Professional		$1,002.00	$4,573.00	$6,003.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.17 / $1,199.29 / $2,589.55	Facility		$653.17	$1,199.29	$2,589.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $720.50 / $720.50 / $720.50	Facility		$720.50	$720.50	$720.50
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
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 $9,213.16 / $9,213.16 / $9,213.16	Professional		$9,213.16	$9,213.16	$9,213.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.30 / $502.30 / $502.30	Facility		$502.30	$502.30	$502.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.00 / $2,042.00 / $4,336.00	Professional		$2,042.00	$2,042.00	$4,336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.30 / $2,024.00 / $2,530.00	Facility		$502.30	$2,024.00	$2,530.00
United Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $1,513.00 / $3,260.00	Facility		$369.00	$1,513.00	$3,260.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $682.21 / $750.00 / $750.00	Professional		$682.21	$750.00	$750.00