Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $676.08	Facility		$645.65	$645.65	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,096.48	Professional		$616.60	$707.95	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $870.96	Professional		$691.83	$691.83	$870.96
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,479.11 / $1,479.11	Facility		$79.43	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Professional		$602.56	$602.56	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $13,182.57 / $13,182.57	Professional		$9,332.54	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,174.90 / $1,862.09	Facility		$616.60	$1,174.90	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,348.96	Professional		$616.60	$758.58	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $831.76	Professional		$812.83	$812.83	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $1,995.26	Facility		$616.60	$1,122.02	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Professional		$602.56	$602.56	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $1,548.82	Facility		$416.87	$660.69	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $954.99	Professional		$549.54	$794.33	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11