Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,783.00 / $7,542.00	Facility		$803.00	$2,783.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $1,505.00 / $2,229.00	Professional		$312.50	$1,505.00	$2,229.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.66 / $373.49 / $838.59	Facility		$199.66	$373.49	$838.59
Christus Facility/Professional Facility Modifier Low / Median / High Price $253.95 / $253.95 / $253.95	Facility		$253.95	$253.95	$253.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,917.93 / $1,917.93 / $1,917.93	Professional		$1,917.93	$1,917.93	$1,917.93
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 $13,834.60 / $13,834.60 / $13,834.60	Professional		$13,834.60	$13,834.60	$13,834.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9,664.20 / $9,664.20 / $13,235.52	Facility		$9,664.20	$9,664.20	$13,235.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $862.22 / $862.22 / $862.22	Professional		$862.22	$862.22	$862.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,917.93 / $1,917.93 / $1,917.93	Professional		$1,917.93	$1,917.93	$1,917.93
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 $2,897.84 / $2,897.84 / $2,897.84	Professional		$2,897.84	$2,897.84	$2,897.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00