Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $758.58	Facility		$724.44	$724.44	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,230.27	Professional		$660.69	$758.58	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,659.59 / $1,659.59	Facility		$79.43	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Professional		$630.96	$630.96	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,096.48 / $2,137.96	Facility		$446.68	$1,096.48	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,862.09	Professional		$676.08	$776.25	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $977.24	Professional		$954.99	$954.99	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,230.27 / $2,089.30	Facility		$691.83	$1,230.27	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Professional		$630.96	$630.96	$851.14
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 $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59