Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,467.00 / $7,542.00	Facility		$647.00	$2,467.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $1,686.00 / $7,851.35	Professional		$159.19	$1,686.00	$7,851.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.62 / $1,320.35 / $3,056.71	Facility		$746.62	$1,320.35	$3,056.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,351.97 / $1,351.97 / $1,351.97	Facility		$1,351.97	$1,351.97	$1,351.97
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 $71.80 / $71.80 / $1,590.00	Professional		$71.80	$71.80	$1,590.00
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 $3,335.23 / $3,968.00 / $3,968.00	Professional		$3,335.23	$3,968.00	$3,968.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.64 / $697.64 / $697.64	Facility		$697.64	$697.64	$697.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $3,330.00 / $3,879.00	Professional		$162.50	$3,330.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $697.64 / $2,024.00 / $2,530.00	Facility		$697.64	$2,024.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $71.80 / $1,590.00	Professional		$71.80	$71.80	$1,590.00
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 $665.51 / $750.00 / $750.00	Professional		$665.51	$750.00	$750.00