Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.52 / $896.52 / $968.24	Facility		$896.52	$896.52	$968.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.60 / $968.24 / $1,793.04	Professional		$831.60	$968.24	$1,793.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.52 / $974.52 / $974.52	Professional		$974.52	$974.52	$974.52
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,047.69 / $2,047.69 / $2,047.69	Facility		$2,047.69	$2,047.69	$2,047.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,375.24	Professional		$1,003.93	$1,003.93	$1,375.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,328.83 / $10,029.48 / $10,029.48	Facility		$9,328.83	$10,029.48	$10,029.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,136.07 / $10,136.07 / $13,105.50	Professional		$10,136.07	$10,136.07	$13,105.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $1,427.04 / $2,047.69	Facility		$562.79	$1,427.04	$2,047.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.15 / $1,842.92 / $2,047.69	Professional		$569.15	$1,842.92	$2,047.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $1,375.24 / $2,047.69	Facility		$562.79	$1,375.24	$2,047.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,416.50	Professional		$1,003.93	$1,003.93	$1,416.50
United Facility/Professional Professional Modifier Low / Median / High Price $726.47 / $1,074.68 / $1,334.02	Professional		$726.47	$1,074.68	$1,334.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,057.36 / $1,062.60 / $2,047.69	Professional		$1,057.36	$1,062.60	$2,047.69