Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,187.76	Facility		$812.83	$1,122.02	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,202.26	Professional		$616.60	$831.76	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,862.09 / $1,862.09	Facility		$79.43	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $977.24	Professional		$707.95	$707.95	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,232.93 / $10,232.93	Professional		$9,120.11	$10,232.93	$10,232.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,412.54 / $2,187.76	Facility		$446.68	$1,412.54	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,513.56	Professional		$645.65	$851.14	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,380.38 / $2,238.72	Facility		$630.96	$1,380.38	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $977.24	Professional		$707.95	$707.95	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $1,584.89	Facility		$426.58	$691.83	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $977.24	Professional		$575.44	$831.76	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09