Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.67 / $879.67 / $950.04	Facility		$879.67	$879.67	$950.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.26 / $950.04 / $1,759.34	Professional		$871.26	$950.04	$1,759.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.34 / $1,196.34 / $1,196.34	Professional		$1,196.34	$1,196.34	$1,196.34
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,009.21 / $2,009.21 / $2,009.21	Facility		$2,009.21	$2,009.21	$2,009.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,167.30	Facility		$1,167.30	$1,167.30	$1,167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $1,167.30	Professional		$852.13	$852.13	$1,167.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,793.70 / $9,963.20 / $9,963.20	Facility		$9,793.70	$9,963.20	$9,963.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,404.18 / $12,404.18 / $14,010.75	Professional		$12,404.18	$12,404.18	$14,010.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $601.66 / $1,400.22 / $2,009.21	Facility		$601.66	$1,400.22	$2,009.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $608.46 / $1,808.29 / $2,144.55	Professional		$608.46	$1,808.29	$2,144.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.66 / $1,342.49 / $2,009.21	Facility		$601.66	$1,342.49	$2,009.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $1,244.40	Professional		$852.13	$852.13	$1,244.40
United Facility/Professional Professional Modifier Low / Median / High Price $776.65 / $1,148.92 / $1,404.20	Professional		$776.65	$1,148.92	$1,404.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,130.41 / $1,131.33 / $2,009.21	Professional		$1,130.41	$1,131.33	$2,009.21