Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,730.00 / $14,841.00	Facility		$803.00	$3,730.00	$14,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $2,719.85	Professional		$40.00	$40.00	$2,719.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $29.10 / $29.10	Professional		$29.10	$29.10	$29.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $112.40 / $112.40	Facility		$112.40	$112.40	$112.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $113.54	Facility		$40.00	$40.00	$113.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $113.54	Facility		$40.00	$40.00	$113.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.75 / $511.75 / $690.86	Professional		$511.75	$511.75	$690.86