Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,445.00 / $14,347.00	Facility		$573.00	$3,445.00	$14,347.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.26 / $378.77 / $497.85	Professional		$263.26	$378.77	$497.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $2,400.00 / $3,300.00	Facility		$1,018.00	$2,400.00	$3,300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $401.71 / $615.09	Professional		$330.13	$401.71	$615.09
Christus Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $324.39 / $324.39	Facility		$324.39	$324.39	$324.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,821.00 / $17,529.00 / $36,462.00	Facility		$11,821.00	$17,529.00	$36,462.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.20 / $536.89 / $809.57	Professional		$413.20	$536.89	$809.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $886.07 / $1,710.63 / $1,844.38	Facility		$886.07	$1,710.63	$1,844.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,416.59 / $2,416.59 / $3,064.58	Professional		$2,416.59	$2,416.59	$3,064.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.12 / $402.20 / $718.77	Facility		$328.12	$402.20	$718.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $475.18 / $548.28 / $639.66	Professional		$475.18	$548.28	$639.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.12 / $467.29 / $20,567.00	Facility		$328.12	$467.29	$20,567.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.20 / $554.21 / $922.01	Professional		$413.20	$554.21	$922.01
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.77 / $445.27 / $697.94	Professional		$340.77	$445.27	$697.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $359.45 / $495.23	Professional		$311.95	$359.45	$495.23