Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.63 / $896.63 / $968.36	Facility		$896.63	$896.63	$968.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.63 / $968.36 / $1,793.25	Professional		$896.63	$968.36	$1,793.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.41 / $1,219.41 / $1,219.41	Professional		$1,219.41	$1,219.41	$1,219.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,047.94 / $2,047.94 / $2,047.94	Facility		$2,047.94	$2,047.94	$2,047.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,317.79	Facility		$1,317.79	$1,317.79	$1,317.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $1,317.79	Professional		$961.99	$961.99	$1,317.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,135.39 / $9,502.08 / $9,502.08	Facility		$4,135.39	$9,502.08	$9,502.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,479.07 / $14,912.18 / $15,058.23	Professional		$14,479.07	$14,912.18	$15,058.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $586.11 / $1,427.22 / $2,047.94	Facility		$586.11	$1,427.22	$2,047.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $592.73 / $1,843.15 / $2,047.94	Professional		$592.73	$1,843.15	$2,047.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.11 / $1,368.38 / $2,047.94	Facility		$586.11	$1,368.38	$2,047.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $1,357.32	Professional		$961.99	$961.99	$1,357.32
United Facility/Professional Professional Modifier Low / Median / High Price $756.58 / $1,119.22 / $1,368.38	Professional		$756.58	$1,119.22	$1,368.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,101.18 / $1,111.77 / $2,047.94	Professional		$1,101.18	$1,111.77	$2,047.94