Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.57 / $1,007.57 / $1,088.18	Facility		$1,007.57	$1,007.57	$1,088.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.90 / $1,088.18 / $2,015.14	Professional		$906.90	$1,088.18	$2,015.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.30 / $1,370.30 / $1,370.30	Professional		$1,370.30	$1,370.30	$1,370.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,301.34 / $2,301.34 / $2,301.34	Facility		$2,301.34	$2,301.34	$2,301.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $1,232.72	Facility		$1,232.72	$1,232.72	$1,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $1,232.72	Professional		$899.89	$899.89	$1,232.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,329.16 / $10,924.72 / $10,924.72	Facility		$9,329.16	$10,924.72	$10,924.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,391.63 / $11,391.63 / $15,815.55	Professional		$11,391.63	$11,391.63	$15,815.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.90 / $1,603.82 / $2,301.34	Facility		$555.90	$1,603.82	$2,301.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.17 / $1,801.20 / $2,301.34	Professional		$562.17	$1,801.20	$2,301.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.90 / $1,537.70 / $2,301.34	Facility		$555.90	$1,537.70	$2,301.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $1,269.70	Professional		$899.89	$899.89	$1,269.70
United Facility/Professional Professional Modifier Low / Median / High Price $717.58 / $1,061.53 / $1,326.91	Professional		$717.58	$1,061.53	$1,326.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,044.43 / $1,054.47 / $2,301.34	Professional		$1,044.43	$1,054.47	$2,301.34