Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,830.88 / $2,164.23 / $3,324.32	Professional		$1,830.88	$2,164.23	$3,324.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,091.23 / $2,643.45 / $4,466.35	Professional		$2,091.23	$2,643.45	$4,466.35
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,105.42 / $2,105.42 / $2,105.42	Facility		$2,105.42	$2,105.42	$2,105.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,359.96 / $3,066.41 / $4,502.39	Professional		$2,359.96	$3,066.41	$4,502.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $30,214.20	Facility		$55.00	$55.00	$30,214.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,202.05 / $16,202.05 / $20,146.28	Professional		$16,202.05	$16,202.05	$20,146.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,119.55 / $2,825.65 / $5,057.10	Facility		$2,119.55	$2,825.65	$5,057.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,434.82 / $3,386.61 / $3,984.25	Professional		$2,434.82	$3,386.61	$3,984.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,119.55 / $2,830.24 / $5,196.77	Facility		$2,119.55	$2,830.24	$5,196.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,362.41 / $3,109.84 / $4,567.29	Professional		$2,362.41	$3,109.84	$4,567.29
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 $1,815.16 / $2,574.85 / $3,931.44	Professional		$1,815.16	$2,574.85	$3,931.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,889.13 / $2,144.71 / $2,939.10	Professional		$1,889.13	$2,144.71	$2,939.10