Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $2,128.00 / $6,762.00	Facility		$494.00	$2,128.00	$6,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.36 / $1,620.95 / $2,417.86	Professional		$169.36	$1,620.95	$2,417.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.58 / $292.77 / $2,303.88	Professional		$160.58	$292.77	$2,303.88
Christus Facility/Professional Facility Modifier Low / Median / High Price $158.24 / $158.24 / $158.24	Facility		$158.24	$158.24	$158.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $473.53 / $2,895.12	Professional		$199.57	$473.53	$2,895.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $3,217.68	Facility		$55.00	$55.00	$3,217.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,533.68 / $12,622.24 / $14,896.20	Professional		$6,533.68	$12,622.24	$14,896.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $704.63 / $3,112.08	Facility		$169.62	$704.63	$3,112.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $1,878.69 / $2,988.83	Professional		$220.77	$1,878.69	$2,988.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.62 / $1,446.70 / $4,332.93	Facility		$169.62	$1,446.70	$4,332.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $554.04 / $3,220.41	Professional		$203.01	$554.04	$3,220.41
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,474.82 / $2,017.02 / $3,224.41	Professional		$1,474.82	$2,017.02	$3,224.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,457.64 / $1,620.95 / $2,319.66	Professional		$1,457.64	$1,620.95	$2,319.66