Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,596.00 / $12,040.00	Facility		$921.00	$3,596.00	$12,040.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.52 / $962.58 / $1,378.16	Professional		$838.52	$962.58	$1,378.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.37 / $1,560.81 / $4,898.72	Facility		$940.37	$1,560.81	$4,898.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.28 / $1,088.95 / $1,561.64	Professional		$783.28	$1,088.95	$1,561.64
Christus Facility/Professional Facility Modifier Low / Median / High Price $827.01 / $827.01 / $827.01	Facility		$827.01	$827.01	$827.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.53 / $1,298.02 / $1,986.76	Professional		$957.53	$1,298.02	$1,986.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $7,613.41	Facility		$55.00	$55.00	$7,613.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,328.64 / $8,328.64 / $8,328.64	Professional		$8,328.64	$8,328.64	$8,328.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.43 / $1,195.21 / $2,055.23	Facility		$909.43	$1,195.21	$2,055.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,025.45 / $1,426.31 / $1,678.01	Professional		$1,025.45	$1,426.31	$1,678.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $909.43 / $1,207.30 / $2,468.75	Facility		$909.43	$1,207.30	$2,468.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $957.77 / $1,324.46 / $2,078.88	Professional		$957.77	$1,324.46	$2,078.88
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.06 / $1,038.30 / $1,660.84	Professional		$773.06	$1,038.30	$1,660.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $795.63 / $909.43 / $1,254.42	Professional		$795.63	$909.43	$1,254.42