Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.30 / $661.02 / $673.74	Facility		$648.30	$661.02	$673.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.89 / $673.74 / $1,093.23	Professional		$622.89	$673.74	$1,093.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.90 / $864.42 / $864.42	Professional		$690.90	$864.42	$864.42
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,451.75 / $1,451.75 / $1,451.75	Facility		$1,451.75	$1,451.75	$1,451.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $832.50	Facility		$832.50	$832.50	$832.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $832.50	Professional		$607.73	$607.73	$832.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,084.52 / $7,134.94 / $8,437.95	Facility		$3,084.52	$7,134.94	$8,437.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,077.27 / $9,295.11 / $13,323.08	Professional		$9,077.27	$9,295.11	$13,323.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.10 / $1,004.45 / $1,451.75	Facility		$429.10	$1,004.45	$1,451.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.10 / $1,306.58 / $1,451.75	Professional		$429.10	$1,306.58	$1,451.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $429.10 / $970.01 / $1,451.75	Facility		$429.10	$970.01	$1,451.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $857.48	Professional		$607.73	$607.73	$857.48
United Facility/Professional Professional Modifier Low / Median / High Price $553.90 / $819.40 / $953.56	Professional		$553.90	$819.40	$953.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $798.19 / $811.44 / $1,451.75	Professional		$798.19	$811.44	$1,451.75