Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Facility		$602.56	$602.56	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,047.13	Professional		$588.84	$707.95	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,380.38	Facility		$79.43	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,905.46	Facility		$616.60	$1,122.02	$1,905.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,380.38	Professional		$602.56	$741.31	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Professional		$794.33	$794.33	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,995.26	Facility		$616.60	$1,047.13	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $1,548.82	Facility		$416.87	$676.08	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $954.99	Professional		$562.34	$812.83	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38