Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.07 / $1,229.54 / $3,809.30	Facility		$529.07	$1,229.54	$3,809.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.91 / $593.20 / $961.94	Professional		$448.91	$593.20	$961.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.64 / $2,501.05 / $4,328.75	Facility		$809.64	$2,501.05	$4,328.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $440.89 / $587.49	Professional		$5.00	$440.89	$587.49
Christus Facility/Professional Facility Modifier Low / Median / High Price $379.81 / $801.62 / $801.62	Facility		$379.81	$801.62	$801.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.78 / $1,195.06 / $3,414.15	Facility		$380.78	$1,195.06	$3,414.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $406.47 / $1,162.00	Professional		$162.00	$406.47	$1,162.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,282.58 / $3,807.70 / $3,807.70	Facility		$1,282.58	$3,807.70	$3,807.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.97 / $801.62 / $859.74	Facility		$480.97	$801.62	$859.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.20 / $801.62 / $801.62	Professional		$457.20	$801.62	$801.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.45 / $801.62 / $1,505.83	Facility		$414.45	$801.62	$1,505.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $408.79 / $801.62	Professional		$162.00	$408.79	$801.62
United Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $336.68 / $480.97	Professional		$188.59	$336.68	$480.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.63 / $320.64 / $801.62	Professional		$312.63	$320.64	$801.62