Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,355.00 / $5,355.00 / $5,355.00	Facility		$5,355.00	$5,355.00	$5,355.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $4,755.24	Professional		$3,570.00	$3,570.00	$4,755.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,063.96 / $17,063.96 / $17,063.96	Professional		$17,063.96	$17,063.96	$17,063.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $3,763.15 / $3,763.15 / $5,644.72	Facility		$3,763.15	$3,763.15	$5,644.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Facility		$3,000.00	$3,000.00	$3,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $7,298.10 / $7,298.10	Professional		$3,000.00	$7,298.10	$7,298.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,102.93 / $19,727.37 / $19,727.37	Facility		$18,102.93	$19,727.37	$19,727.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $3,570.00	Facility		$3,570.00	$3,570.00	$3,570.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43,130.00 / $43,130.00 / $43,638.25	Professional		$43,130.00	$43,130.00	$43,638.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $3,570.00 / $3,570.00	Facility		$3,000.00	$3,570.00	$3,570.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $7,298.10 / $7,298.10	Professional		$3,000.00	$7,298.10	$7,298.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,360.92 / $3,147.91 / $9,360.00	Professional		$2,360.92	$3,147.91	$9,360.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,697.17 / $3,697.17 / $3,697.17	Professional		$3,697.17	$3,697.17	$3,697.17