Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.16 / $951.46 / $969.76	Facility		$933.16	$951.46	$969.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.87 / $969.76 / $1,573.57	Professional		$914.87	$969.76	$1,573.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,244.22 / $1,244.22 / $1,244.22	Professional		$1,244.22	$1,244.22	$1,244.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,089.61 / $2,089.61 / $2,089.61	Facility		$2,089.61	$2,089.61	$2,089.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,399.15	Facility		$1,399.15	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $1,399.15	Professional		$1,021.38	$1,021.38	$1,399.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,269.56 / $11,200.41 / $11,200.41	Facility		$10,269.56	$11,200.41	$11,200.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,333.02 / $12,333.02 / $18,743.33	Professional		$12,333.02	$12,333.02	$18,743.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $1,445.81 / $2,089.61	Facility		$623.69	$1,445.81	$2,089.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $623.69 / $1,880.65 / $2,131.65	Professional		$623.69	$1,880.65	$2,131.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $1,399.15 / $2,089.61	Facility		$623.69	$1,399.15	$2,089.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $1,441.12	Professional		$1,021.38	$1,021.38	$1,441.12
United Facility/Professional Professional Modifier Low / Median / High Price $805.07 / $1,190.96 / $1,385.97	Professional		$805.07	$1,190.96	$1,385.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,133.98 / $1,160.14 / $2,089.61	Professional		$1,133.98	$1,160.14	$2,089.61