Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.45 / $614.26 / $626.07	Facility		$602.45	$614.26	$626.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.45 / $626.07 / $1,015.89	Professional		$602.45	$626.07	$1,015.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.02 / $642.02 / $803.26	Professional		$642.02	$642.02	$803.26
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,349.05 / $1,349.05 / $1,349.05	Facility		$1,349.05	$1,349.05	$1,349.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $842.96	Professional		$615.36	$615.36	$842.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,102.37 / $7,331.10 / $7,331.10	Facility		$7,102.37	$7,331.10	$7,331.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,633.90 / $8,633.90 / $13,490.48	Professional		$8,633.90	$8,633.90	$13,490.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $940.15 / $1,349.05	Facility		$434.49	$940.15	$1,349.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $434.49 / $1,241.13 / $1,349.05	Professional		$434.49	$1,241.13	$1,349.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.49 / $901.39 / $1,349.05	Facility		$434.49	$901.39	$1,349.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $868.25	Professional		$615.36	$615.36	$868.25
United Facility/Professional Professional Modifier Low / Median / High Price $560.86 / $800.56 / $965.54	Professional		$560.86	$800.56	$965.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $789.98 / $808.21 / $1,349.05	Professional		$789.98	$808.21	$1,349.05