Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.31 / $733.41 / $747.52	Facility		$719.31	$733.41	$747.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.42 / $747.52 / $1,264.64	Professional		$707.42	$747.52	$1,264.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.08 / $959.08 / $959.08	Professional		$959.08	$959.08	$959.08
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,610.72 / $1,610.72 / $1,610.72	Facility		$1,610.72	$1,610.72	$1,610.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,006.48	Facility		$1,006.48	$1,006.48	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $734.73	Professional		$734.73	$734.73	$734.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,399.94 / $8,733.07 / $8,733.07	Facility		$8,399.94	$8,733.07	$8,733.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,156.85 / $10,156.85 / $15,870.08	Professional		$10,156.85	$10,156.85	$15,870.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $518.77 / $1,114.45 / $1,610.72	Facility		$518.77	$1,114.45	$1,610.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.77 / $1,468.46 / $1,873.98	Professional		$518.77	$1,468.46	$1,873.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $518.77 / $1,076.24 / $1,610.72	Facility		$518.77	$1,076.24	$1,610.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,533.11	Professional		$734.73	$734.73	$1,533.11
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.65 / $968.38 / $1,152.83	Professional		$669.65	$968.38	$1,152.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $943.22 / $964.99 / $1,610.72	Professional		$943.22	$964.99	$1,610.72