Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,172.00 / $7,513.00	Facility		$521.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.12 / $478.16 / $763.34	Professional		$401.12	$478.16	$763.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.62 / $446.69 / $920.45	Facility		$257.62	$446.69	$920.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.32 / $605.44 / $662.00	Professional		$478.32	$605.44	$662.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $451.89 / $451.89 / $451.89	Facility		$451.89	$451.89	$451.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.18 / $316.18 / $316.18	Facility		$316.18	$316.18	$316.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.33 / $675.28 / $979.15	Professional		$491.33	$675.28	$979.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $4,049.71	Facility		$55.00	$55.00	$4,049.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,598.32 / $3,699.44 / $4,523.85	Professional		$3,598.32	$3,699.44	$4,523.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.86 / $616.51 / $1,150.63	Facility		$471.86	$616.51	$1,150.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $555.78 / $773.03 / $909.45	Professional		$555.78	$773.03	$909.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $485.09 / $619.10 / $1,177.77	Facility		$485.09	$619.10	$1,177.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.07 / $693.47 / $1,076.86	Professional		$499.07	$693.47	$1,076.86
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 $407.06 / $555.99 / $887.41	Professional		$407.06	$555.99	$887.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $431.22 / $492.48 / $672.88	Professional		$431.22	$492.48	$672.88