Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $12,281.00	Facility		$732.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.68 / $300.92 / $391.58	Professional		$215.68	$300.92	$391.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,144.47 / $9,044.04 / $19,142.24	Facility		$5,144.47	$9,044.04	$19,142.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.81 / $315.07 / $315.07	Professional		$267.81	$315.07	$315.07
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $352.98 / $356.93	Facility		$80.00	$352.98	$356.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.90 / $419.90 / $419.90	Facility		$419.90	$419.90	$419.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $325.56	Professional		$325.56	$325.56	$325.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $668.85 / $19,913.50 / $19,913.50	Facility		$668.85	$19,913.50	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,316.04 / $2,316.04 / $3,006.90	Professional		$2,316.04	$2,316.04	$3,006.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.92 / $398.94 / $809.86	Facility		$300.92	$398.94	$809.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $442.34 / $530.80 / $658.20	Professional		$442.34	$530.80	$658.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.04 / $398.94 / $809.86	Facility		$300.04	$398.94	$809.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $325.56 / $592.04	Professional		$325.56	$325.56	$592.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,123.00 / $16,000.00	Facility		$2,600.00	$7,123.00	$16,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.66 / $407.74 / $650.37	Professional		$310.66	$407.74	$650.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $346.90 / $478.12	Professional		$302.02	$346.90	$478.12