Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.28 / $525.39 / $535.49	Facility		$515.28	$525.39	$535.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.28 / $535.49 / $999.35	Professional		$515.28	$535.49	$999.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.13 / $687.04 / $687.04	Professional		$549.13	$687.04	$687.04
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,153.84 / $1,153.84 / $1,153.84	Facility		$1,153.84	$1,153.84	$1,153.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $713.15	Facility		$713.15	$713.15	$713.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $713.15	Professional		$520.60	$520.60	$713.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,649.33 / $6,073.14 / $7,228.12	Facility		$2,649.33	$6,073.14	$7,228.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,833.15 / $8,021.16 / $10,990.05	Professional		$7,833.15	$8,021.16	$10,990.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.58 / $804.13 / $1,153.84	Facility		$367.58	$804.13	$1,153.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.58 / $1,040.52 / $1,510.52	Professional		$367.58	$1,040.52	$1,510.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.58 / $770.98 / $1,153.84	Facility		$367.58	$770.98	$1,153.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $760.25	Professional		$520.60	$520.60	$760.25
United Facility/Professional Professional Modifier Low / Median / High Price $474.48 / $697.49 / $871.30	Professional		$474.48	$697.49	$871.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $683.75 / $705.45 / $1,153.84	Professional		$683.75	$705.45	$1,153.84