Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.20 / $1,225.08 / $1,225.08	Facility		$1,195.20	$1,225.08	$1,225.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.20 / $1,225.08 / $1,269.90	Professional		$1,195.20	$1,225.08	$1,269.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.55 / $2,114.69 / $4,285.05	Facility		$866.55	$2,114.69	$4,285.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.56 / $199.56 / $199.56	Professional		$199.56	$199.56	$199.56
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Facility		$1,269.90	$1,269.90	$1,269.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,269.90	Professional		$1,269.90	$1,269.90	$1,269.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $2,988.00 / $5,602.50	Facility		$1,602.00	$2,988.00	$5,602.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,677.20 / $5,677.20 / $6,723.00	Professional		$5,677.20	$5,677.20	$6,723.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $291.27 / $2,597.17	Facility		$291.27	$291.27	$2,597.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.27 / $1,195.20 / $2,597.17	Facility		$291.27	$1,195.20	$2,597.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,269.90 / $1,269.90 / $1,468.50	Professional		$1,269.90	$1,269.90	$1,468.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,271.15	Professional		$1,245.00	$1,245.00	$1,271.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,680.75	Professional		$1,245.00	$1,245.00	$1,680.75