Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.74 / $1,073.31 / $1,218.34	Facility		$826.74	$1,073.31	$1,218.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $1,087.82 / $1,411.42	Professional		$128.34	$1,087.82	$1,411.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.31 / $788.31 / $788.31	Professional		$788.31	$788.31	$788.31
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,656.42 / $1,656.42 / $1,656.42	Facility		$1,656.42	$1,656.42	$1,656.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $120.96	Professional		$102.00	$102.00	$120.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,768.02 / $7,674.31 / $7,674.31	Facility		$2,768.02	$7,674.31	$7,674.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,311.57 / $8,311.57 / $12,061.05	Professional		$8,311.57	$8,311.57	$12,061.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.31 / $1,449.19 / $1,656.42	Facility		$1,078.31	$1,449.19	$1,656.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.31 / $1,523.91 / $1,656.42	Professional		$1,078.31	$1,523.91	$1,656.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $1,218.34 / $1,656.42	Facility		$128.34	$1,218.34	$1,656.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $126.05	Professional		$102.00	$120.00	$126.05
United Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $91.34 / $114.17	Professional		$57.60	$91.34	$114.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $1,656.42 / $1,656.42	Professional		$83.47	$1,656.42	$1,656.42