Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.32 / $493.32 / $532.78	Facility		$493.32	$493.32	$532.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.32 / $532.78 / $986.63	Professional		$493.32	$532.78	$986.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.91 / $670.91 / $670.91	Professional		$670.91	$670.91	$670.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,126.76 / $1,126.76 / $1,126.76	Facility		$1,126.76	$1,126.76	$1,126.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,268.19 / $5,705.72 / $5,705.72	Facility		$2,268.19	$5,705.72	$5,705.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,933.16 / $6,075.54 / $9,155.62	Professional		$5,933.16	$6,075.54	$9,155.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $352.30 / $806.44 / $1,126.76	Facility		$352.30	$806.44	$1,126.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.27 / $1,014.08 / $1,190.91	Professional		$356.27	$1,014.08	$1,190.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.30 / $806.44 / $1,126.76	Facility		$352.30	$806.44	$1,126.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $699.14 / $699.14 / $957.73	Professional		$699.14	$699.14	$957.73
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $454.76 / $672.73 / $822.21	Professional		$454.76	$672.73	$822.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $661.90 / $1,126.76	Professional		$656.97	$661.90	$1,126.76