Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.97 / $870.83 / $4,000.10	Facility		$837.97	$870.83	$4,000.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.12 / $870.83 / $1,501.24	Professional		$824.12	$870.83	$1,501.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.02 / $1,117.29 / $1,117.29	Professional		$893.02	$1,117.29	$1,117.29
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,876.44 / $1,876.44 / $1,876.44	Facility		$1,876.44	$1,876.44	$1,876.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,172.51	Facility		$1,172.51	$1,172.51	$1,172.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $1,172.51	Professional		$855.93	$855.93	$1,172.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,934.14 / $11,884.17 / $11,884.17	Facility		$9,934.14	$11,884.17	$11,884.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,009.26 / $12,009.26 / $18,494.84	Professional		$12,009.26	$12,009.26	$18,494.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.35 / $1,307.70 / $1,876.44	Facility		$604.35	$1,307.70	$1,876.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.35 / $1,710.55 / $2,224.56	Professional		$604.35	$1,710.55	$2,224.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.35 / $1,253.79 / $1,876.44	Facility		$604.35	$1,253.79	$1,876.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $1,207.69	Professional		$855.93	$855.93	$1,207.69
United Facility/Professional Professional Modifier Low / Median / High Price $780.12 / $1,154.05 / $1,343.01	Professional		$780.12	$1,154.05	$1,343.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,124.18 / $1,130.53 / $1,876.44	Professional		$1,124.18	$1,130.53	$1,876.44