Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.38 / $650.38 / $702.41	Facility		$650.38	$650.38	$702.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.38 / $707.00 / $1,300.75	Professional		$650.38	$707.00	$1,300.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.51 / $884.51 / $884.51	Professional		$884.51	$884.51	$884.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,485.50 / $1,485.50 / $1,485.50	Facility		$1,485.50	$1,485.50	$1,485.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,232.20	Professional		$899.51	$899.51	$1,232.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,733.84 / $8,041.61 / $8,041.61	Facility		$7,733.84	$8,041.61	$8,041.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,380.20 / $8,380.20 / $12,300.60	Professional		$8,380.20	$8,380.20	$12,300.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,046.28 / $1,485.50	Facility		$478.20	$1,046.28	$1,485.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $1,353.53 / $1,692.97	Professional		$483.60	$1,353.53	$1,692.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.20 / $1,063.19 / $1,485.50	Facility		$478.20	$1,063.19	$1,485.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,294.69	Professional		$899.51	$899.51	$1,294.69
United Facility/Professional Professional Modifier Low / Median / High Price $617.28 / $913.15 / $1,116.05	Professional		$617.28	$913.15	$1,116.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $898.44 / $902.90 / $1,485.50	Professional		$898.44	$902.90	$1,485.50