Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.83 / $803.83 / $868.13	Facility		$803.83	$803.83	$868.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.52 / $868.13 / $1,607.65	Professional		$739.52	$868.13	$1,607.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.20 / $1,093.20 / $1,093.20	Professional		$1,093.20	$1,093.20	$1,093.20
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,446.89 / $1,446.89 / $1,835.99	Facility		$1,446.89	$1,446.89	$1,835.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $913.06	Facility		$913.06	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $913.06	Professional		$666.53	$666.53	$913.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,602.61 / $7,691.82 / $7,691.82	Facility		$7,602.61	$7,691.82	$7,691.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,088.15 / $9,088.15 / $13,911.90	Professional		$9,088.15	$9,088.15	$13,911.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $470.62 / $1,279.50 / $1,835.99	Facility		$470.62	$1,279.50	$1,835.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $475.94 / $1,552.60 / $1,835.99	Professional		$475.94	$1,552.60	$1,835.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.62 / $1,226.75 / $1,835.99	Facility		$470.62	$1,226.75	$1,835.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $973.36	Professional		$666.53	$666.53	$973.36
United Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $898.68 / $1,123.34	Professional		$607.50	$898.68	$1,123.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $880.36 / $884.20 / $1,835.99	Professional		$880.36	$884.20	$1,835.99