Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.00 / $2,361.60 / $2,361.60	Facility		$2,304.00	$2,361.60	$2,361.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,304.00 / $2,361.60 / $2,448.00	Professional		$2,304.00	$2,361.60	$2,448.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $26.50 / $52.07	Facility		$10.23	$26.50	$52.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,472.00 / $2,472.00 / $2,472.00	Professional		$2,472.00	$2,472.00	$2,472.00
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 $2,448.00 / $2,448.00 / $2,448.00	Facility		$2,448.00	$2,448.00	$2,448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $5,760.00 / $10,800.00	Facility		$2,736.00	$5,760.00	$10,800.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,944.00 / $10,944.00 / $12,960.00	Professional		$10,944.00	$10,944.00	$12,960.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,350.08 / $2,880.00 / $5,006.59	Facility		$2,350.08	$2,880.00	$5,006.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,350.08 / $2,880.00 / $5,006.59	Facility		$2,350.08	$2,880.00	$5,006.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,431.19	Professional		$2,400.00	$2,400.00	$2,431.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,040.00 / $2,040.00 / $2,754.00	Professional		$2,040.00	$2,040.00	$2,754.00