Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.78 / $503.78 / $544.08	Facility		$503.78	$503.78	$544.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.32 / $535.60 / $1,007.56	Professional		$428.32	$535.60	$1,007.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.14 / $685.14 / $685.14	Professional		$685.14	$685.14	$685.14
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,150.66 / $1,150.66 / $1,150.66	Facility		$1,150.66	$1,150.66	$1,150.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $582.20	Facility		$582.20	$582.20	$582.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $582.20	Professional		$425.01	$425.01	$582.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,473.42 / $5,042.08 / $5,042.08	Facility		$4,473.42	$5,042.08	$5,042.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,695.77 / $5,695.77 / $6,472.50	Professional		$5,695.77	$5,695.77	$6,472.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $801.91 / $1,150.66	Facility		$277.95	$801.91	$1,150.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.08 / $973.06 / $1,150.66	Professional		$281.08	$973.06	$1,150.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $768.85 / $1,150.66	Facility		$277.95	$768.85	$1,150.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $425.01 / $620.66	Professional		$425.01	$425.01	$620.66
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $358.79 / $530.76 / $657.29	Professional		$358.79	$530.76	$657.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.50 / $522.23 / $1,150.66	Professional		$520.50	$522.23	$1,150.66