Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.46 / $3,455.00 / $10,893.00	Facility		$488.46	$3,455.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $426.87 / $677.73	Professional		$171.07	$426.87	$677.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,684.96 / $2,716.57 / $5,811.40	Facility		$1,684.96	$2,716.57	$5,811.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $335.16 / $627.23	Professional		$153.93	$335.16	$627.23
Christus Facility/Professional Facility Modifier Low / Median / High Price $173.67 / $1,395.23 / $1,395.23	Facility		$173.67	$1,395.23	$1,395.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.95 / $505.48 / $837.39	Professional		$227.95	$505.48	$837.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,374.36	Facility		$55.00	$55.00	$1,374.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.80 / $1,625.10 / $4,207.00	Professional		$1,438.80	$1,625.10	$4,207.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.30 / $432.64 / $893.98	Facility		$190.30	$432.64	$893.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.09 / $587.03 / $1,090.35	Professional		$248.09	$587.03	$1,090.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.23 / $432.64 / $893.98	Facility		$191.23	$432.64	$893.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $505.48 / $900.86	Professional		$226.50	$505.48	$900.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,124.00 / $3,314.00 / $7,600.00	Facility		$1,124.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.25 / $586.86 / $931.07	Professional		$408.25	$586.86	$931.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.39 / $432.64 / $612.59	Professional		$385.39	$432.64	$612.59