Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.53 / $786.53 / $849.45	Facility		$786.53	$786.53	$849.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.78 / $849.45 / $1,573.05	Professional		$743.78	$849.45	$1,573.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.67 / $1,069.67 / $1,069.67	Professional		$1,069.67	$1,069.67	$1,069.67
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,796.47 / $1,796.47 / $1,796.47	Facility		$1,796.47	$1,796.47	$1,796.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,020.64	Professional		$745.07	$745.07	$1,020.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,316.47 / $8,461.77 / $10,100.12	Facility		$4,316.47	$8,461.77	$10,100.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,850.71 / $12,135.11 / $12,232.80	Professional		$11,850.71	$12,135.11	$12,232.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $513.63 / $1,270.52 / $1,796.47	Facility		$513.63	$1,270.52	$1,796.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $519.41 / $1,616.82 / $2,126.34	Professional		$519.41	$1,616.82	$2,126.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.63 / $1,200.34 / $1,796.47	Facility		$513.63	$1,200.34	$1,796.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,051.26	Professional		$745.07	$745.07	$1,051.26
United Facility/Professional Professional Modifier Low / Median / High Price $663.01 / $998.53 / $1,226.00	Professional		$663.01	$998.53	$1,226.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $957.82 / $965.00 / $1,796.47	Professional		$957.82	$965.00	$1,796.47