Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.60 / $951.60 / $1,027.72	Facility		$951.60	$951.60	$1,027.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $844.07 / $1,027.72 / $1,903.19	Professional		$844.07	$1,027.72	$1,903.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.17 / $1,294.17 / $1,294.17	Professional		$1,294.17	$1,294.17	$1,294.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,173.48 / $2,173.48 / $2,173.48	Facility		$2,173.48	$2,173.48	$2,173.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,018.60	Facility		$1,018.60	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $743.58	Professional		$743.58	$743.58	$743.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,447.07 / $8,561.92 / $8,561.92	Facility		$8,447.07	$8,561.92	$8,561.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,758.78 / $10,758.78 / $12,225.90	Professional		$10,758.78	$10,758.78	$12,225.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $525.02 / $1,514.71 / $2,173.48	Facility		$525.02	$1,514.71	$2,173.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.95 / $1,838.01 / $2,173.48	Professional		$530.95	$1,838.01	$2,173.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.02 / $1,452.27 / $2,173.48	Facility		$525.02	$1,452.27	$2,173.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $1,427.39	Professional		$743.58	$743.58	$1,427.39
United Facility/Professional Professional Modifier Low / Median / High Price $677.71 / $1,002.55 / $1,253.19	Professional		$677.71	$1,002.55	$1,253.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $979.06 / $986.40 / $2,173.48	Professional		$979.06	$986.40	$2,173.48