Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Facility		$616.60	$616.60	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,122.02	Professional		$616.60	$741.31	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,412.54 / $1,412.54	Facility		$79.43	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $11,748.98 / $11,748.98	Professional		$8,128.31	$11,748.98	$11,748.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $1,949.84	Facility		$630.96	$1,202.26	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,479.11	Professional		$630.96	$794.33	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,089.30	Facility		$630.96	$1,096.48	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $891.25	Professional		$645.65	$645.65	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $1,584.89	Facility		$426.58	$691.83	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $977.24	Professional		$575.44	$831.76	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54