Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $977.24	Facility		$891.25	$891.25	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,737.80	Professional		$870.96	$1,000.00	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,089.30	Facility		$79.43	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,318.26	Professional		$954.99	$954.99	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $15,135.61	Professional		$14,791.08	$14,791.08	$15,135.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $2,570.40	Facility		$891.25	$1,659.59	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,041.74	Professional		$891.25	$1,096.48	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Professional		$1,548.82	$1,548.82	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,584.89 / $2,630.27	Facility		$891.25	$1,584.89	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,318.26	Professional		$954.99	$954.99	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $2,089.30	Facility		$691.83	$1,348.96	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,380.38	Professional		$758.58	$1,122.02	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30