Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Facility		$870.96	$870.96	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,778.28	Professional		$812.83	$977.24	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,041.74	Facility		$79.43	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $14,125.38 / $14,125.38	Professional		$12,302.69	$14,125.38	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $2,570.40	Facility		$870.96	$1,659.59	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,089.30	Professional		$812.83	$1,122.02	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,047.13	Professional		$1,023.29	$1,023.29	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,548.82 / $2,754.23	Facility		$870.96	$1,548.82	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $2,137.96	Facility		$707.95	$1,288.25	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,412.54	Professional		$776.25	$1,174.90	$1,412.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74