Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.30 / $520.29 / $530.30	Facility		$510.30	$520.29	$530.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.28 / $530.30 / $1,000.58	Professional		$490.28	$530.30	$1,000.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.82 / $680.39 / $680.39	Professional		$543.82	$680.39	$680.39
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,142.69 / $1,142.69 / $1,142.69	Facility		$1,142.69	$1,142.69	$1,142.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $714.02	Facility		$714.02	$714.02	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $714.02	Professional		$521.23	$521.23	$714.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,278.68 / $6,061.86 / $7,237.01	Facility		$3,278.68	$6,061.86	$7,237.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,365.12 / $10,613.88 / $10,613.88	Professional		$10,365.12	$10,613.88	$10,613.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.03 / $790.62 / $1,142.69	Facility		$368.03	$790.62	$1,142.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $368.03 / $1,041.74 / $1,523.58	Professional		$368.03	$1,041.74	$1,523.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.03 / $763.51 / $1,142.69	Facility		$368.03	$763.51	$1,142.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $735.44	Professional		$521.23	$521.23	$735.44
United Facility/Professional Professional Modifier Low / Median / High Price $475.06 / $686.30 / $817.84	Professional		$475.06	$686.30	$817.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $684.59 / $694.89 / $1,142.69	Professional		$684.59	$694.89	$1,142.69