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 $1,717.91 / $2,017.77 / $3,115.30	Professional		$1,717.91	$2,017.77	$3,115.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,723.10 / $2,465.78 / $4,181.31	Professional		$1,723.10	$2,465.78	$4,181.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,994.93 / $1,994.93 / $1,994.93	Facility		$1,994.93	$1,994.93	$1,994.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,196.76 / $2,845.60 / $4,180.47	Professional		$2,196.76	$2,845.60	$4,180.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,371.00	Facility		$55.00	$55.00	$28,371.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,599.08 / $14,868.96 / $18,873.08	Professional		$14,599.08	$14,868.96	$18,873.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,920.31 / $2,512.34 / $4,698.77	Facility		$1,920.31	$2,512.34	$4,698.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,283.60 / $3,176.28 / $3,736.80	Professional		$2,283.60	$3,176.28	$3,736.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,922.92 / $2,598.63 / $4,876.12	Facility		$1,922.92	$2,598.63	$4,876.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,199.36 / $2,867.33 / $4,260.93	Professional		$2,199.36	$2,867.33	$4,260.93
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 $1,678.74 / $2,327.21 / $3,659.89	Professional		$1,678.74	$2,327.21	$3,659.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,771.80 / $2,009.87 / $2,758.62	Professional		$1,771.80	$2,009.87	$2,758.62