Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.57 / $1,057.57 / $1,142.18	Facility		$1,057.57	$1,057.57	$1,142.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.96 / $1,142.18 / $2,115.14	Professional		$972.96	$1,142.18	$2,115.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,438.30 / $1,438.30 / $1,438.30	Professional		$1,438.30	$1,438.30	$1,438.30
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,415.55 / $2,415.55 / $2,415.55	Facility		$2,415.55	$2,415.55	$2,415.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $984.86	Professional		$984.86	$984.86	$984.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,687.79 / $10,995.21 / $10,995.21	Facility		$9,687.79	$10,995.21	$10,995.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,956.97 / $11,956.97 / $16,922.70	Professional		$11,956.97	$11,956.97	$16,922.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $1,683.40 / $2,415.55	Facility		$583.49	$1,683.40	$2,415.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $590.08 / $2,042.71 / $2,415.55	Professional		$590.08	$2,042.71	$2,415.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $1,614.00 / $2,415.55	Facility		$583.49	$1,614.00	$2,415.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,688.00	Professional		$984.86	$984.86	$1,688.00
United Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $1,114.21 / $1,383.08	Professional		$753.18	$1,114.21	$1,383.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.25 / $1,106.79 / $2,415.55	Professional		$1,096.25	$1,106.79	$2,415.55