Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.27 / $1,041.27 / $1,124.57	Facility		$1,041.27	$1,041.27	$1,124.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.61 / $1,124.57 / $2,082.54	Professional		$986.61	$1,124.57	$2,082.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.85 / $1,131.85 / $1,416.13	Professional		$1,131.85	$1,131.85	$1,416.13
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,378.32 / $2,378.32 / $2,378.32	Facility		$2,378.32	$2,378.32	$2,378.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $1,295.39	Facility		$1,295.39	$1,295.39	$1,295.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,295.39	Professional		$945.63	$945.63	$1,295.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,873.70 / $13,129.67 / $13,129.67	Facility		$10,873.70	$13,129.67	$13,129.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,267.87 / $13,390.97 / $15,548.25	Professional		$13,267.87	$13,390.97	$15,548.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $667.69 / $1,657.47 / $2,378.32	Facility		$667.69	$1,657.47	$2,378.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $675.23 / $2,140.48 / $2,408.67	Professional		$675.23	$2,140.48	$2,408.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.69 / $1,589.14 / $2,378.32	Facility		$667.69	$1,589.14	$2,378.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,380.95	Professional		$945.63	$945.63	$1,380.95
United Facility/Professional Professional Modifier Low / Median / High Price $861.88 / $1,275.00 / $1,589.14	Professional		$861.88	$1,275.00	$1,589.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,254.45 / $1,282.47 / $2,378.32	Professional		$1,254.45	$1,282.47	$2,378.32