Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $4,028.00 / $15,215.00	Facility		$921.00	$4,028.00	$15,215.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.54 / $601.83 / $861.48	Professional		$543.54	$601.83	$861.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,333.96 / $19,771.47 / $38,661.40	Facility		$11,333.96	$19,771.47	$38,661.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.36 / $752.32 / $857.17	Professional		$594.36	$752.32	$857.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $549.86 / $549.86 / $549.86	Facility		$549.86	$549.86	$549.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,172.89 / $15,172.89 / $15,172.89	Facility		$15,172.89	$15,172.89	$15,172.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.76 / $844.91 / $1,290.27	Professional		$650.76	$844.91	$1,290.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $59,954.15	Facility		$55.00	$55.00	$59,954.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,664.64 / $4,799.12 / $5,418.75	Professional		$4,664.64	$4,799.12	$5,418.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.32 / $690.27 / $1,397.55	Facility		$574.32	$690.27	$1,397.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $690.27 / $960.11 / $1,129.54	Professional		$690.27	$960.11	$1,129.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.32 / $716.32 / $1,630.15	Facility		$574.32	$716.32	$1,630.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.76 / $853.09 / $1,305.20	Professional		$650.76	$853.09	$1,305.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,605.00 / $7,123.00 / $16,000.00	Facility		$2,605.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.11 / $712.78 / $1,103.10	Professional		$519.11	$712.78	$1,103.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $535.57 / $609.35 / $846.96	Professional		$535.57	$609.35	$846.96