Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,128.00 / $7,316.00	Facility		$425.00	$2,128.00	$7,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $227.39 / $386.81	Professional		$117.85	$227.39	$386.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.72 / $282.25 / $332.06	Professional		$130.72	$282.25	$332.06
Christus Facility/Professional Facility Modifier Low / Median / High Price $156.15 / $156.15 / $156.15	Facility		$156.15	$156.15	$156.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $901.83 / $901.83 / $901.83	Facility		$901.83	$901.83	$901.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.41 / $1,457.03 / $2,557.35	Professional		$1,342.41	$1,457.03	$2,557.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $290.10 / $580.66	Facility		$148.19	$290.10	$580.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.81 / $329.48 / $524.17	Professional		$225.81	$329.48	$524.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $298.70 / $714.49	Facility		$148.19	$298.70	$714.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $550.02	Professional		$275.57	$275.57	$550.02
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 $384.07 / $535.57 / $875.71	Professional		$384.07	$535.57	$875.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.64 / $289.30 / $406.62	Professional		$255.64	$289.30	$406.62