Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.69 / $879.61 / $896.52	Facility		$862.69	$879.61	$896.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.31 / $896.52 / $1,691.55	Professional		$858.31	$896.52	$1,691.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.36 / $919.36 / $1,150.25	Professional		$919.36	$919.36	$1,150.25
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,931.80 / $1,931.80 / $1,931.80	Facility		$1,931.80	$1,931.80	$1,931.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,207.09	Professional		$881.18	$881.18	$1,207.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,986.98 / $11,515.43 / $11,515.43	Facility		$9,986.98	$11,515.43	$11,515.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,749.91 / $12,749.91 / $17,455.13	Professional		$12,749.91	$12,749.91	$17,455.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $622.17 / $1,336.60 / $1,931.80	Facility		$622.17	$1,336.60	$1,931.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $622.17 / $1,760.99 / $2,575.73	Professional		$622.17	$1,760.99	$2,575.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.17 / $1,290.77 / $1,931.80	Facility		$622.17	$1,290.77	$1,931.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,243.31	Professional		$881.18	$881.18	$1,243.31
United Facility/Professional Professional Modifier Low / Median / High Price $803.13 / $1,161.41 / $1,382.63	Professional		$803.13	$1,161.41	$1,382.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.64 / $1,157.34 / $1,931.80	Professional		$1,148.64	$1,157.34	$1,931.80