Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.86 / $445.86 / $481.52	Facility		$445.86	$445.86	$481.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.32 / $481.52 / $891.71	Professional		$416.32	$481.52	$891.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.36 / $606.36 / $606.36	Professional		$606.36	$606.36	$606.36
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,018.36 / $1,018.36 / $1,018.36	Facility		$1,018.36	$1,018.36	$1,018.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $673.11	Professional		$491.37	$491.37	$673.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,112.32 / $4,663.25 / $5,540.26	Facility		$2,112.32	$4,663.25	$5,540.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,154.20 / $6,301.89 / $6,560.85	Professional		$6,154.20	$6,301.89	$6,560.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $709.71 / $1,018.36	Facility		$281.75	$709.71	$1,018.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.93 / $874.78 / $1,018.36	Professional		$284.93	$874.78	$1,018.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.75 / $680.45 / $1,018.36	Facility		$281.75	$680.45	$1,018.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $693.30	Professional		$491.37	$491.37	$693.30
United Facility/Professional Professional Modifier Low / Median / High Price $363.68 / $538.01 / $657.55	Professional		$363.68	$538.01	$657.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $529.34 / $534.42 / $1,018.36	Professional		$529.34	$534.42	$1,018.36