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 $1,548.00 / $1,836.91 / $2,809.68	Professional		$1,548.00	$1,836.91	$2,809.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.24 / $2,224.23 / $3,098.85	Professional		$1,745.24	$2,224.23	$3,098.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,795.03 / $1,795.03 / $1,795.03	Facility		$1,795.03	$1,795.03	$1,795.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.97 / $2,569.69 / $3,803.14	Professional		$1,980.97	$2,569.69	$3,803.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $25,573.20	Facility		$55.00	$55.00	$25,573.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,200.36 / $13,402.96 / $17,023.05	Professional		$13,200.36	$13,402.96	$17,023.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,790.09 / $2,372.10 / $4,249.52	Facility		$1,790.09	$2,372.10	$4,249.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,059.08 / $2,863.99 / $3,369.40	Professional		$2,059.08	$2,863.99	$3,369.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,790.09 / $2,377.84 / $4,393.84	Facility		$1,790.09	$2,377.84	$4,393.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,987.71 / $2,628.41 / $3,849.94	Professional		$1,987.71	$2,628.41	$3,849.94
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 $1,547.26 / $2,097.46 / $3,311.98	Professional		$1,547.26	$2,097.46	$3,311.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,597.60 / $1,812.70 / $2,486.86	Professional		$1,597.60	$1,812.70	$2,486.86