Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.28 / $752.28 / $812.46	Facility		$752.28	$752.28	$812.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.10 / $812.46 / $1,504.56	Professional		$692.10	$812.46	$1,504.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.10 / $1,023.10 / $1,023.10	Professional		$1,023.10	$1,023.10	$1,023.10
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,718.25 / $1,718.25 / $1,718.25	Facility		$1,718.25	$1,718.25	$1,718.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $662.92	Professional		$662.92	$662.92	$662.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,616.04 / $6,807.72 / $6,807.72	Facility		$2,616.04	$6,807.72	$6,807.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,505.34 / $8,505.34 / $9,665.18	Professional		$8,505.34	$8,505.34	$9,665.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $415.05 / $1,197.46 / $1,718.25	Facility		$415.05	$1,197.46	$1,718.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $419.74 / $1,453.05 / $1,718.25	Professional		$419.74	$1,453.05	$1,718.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.05 / $1,148.08 / $1,718.25	Facility		$415.05	$1,148.08	$1,718.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $1,073.66	Professional		$662.92	$662.92	$1,073.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,460.51 / $1,460.51 / $1,718.25	Facility		$1,460.51	$1,460.51	$1,718.25
United Facility/Professional Professional Modifier Low / Median / High Price $535.76 / $792.57 / $983.83	Professional		$535.76	$792.57	$983.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $779.80 / $787.30 / $1,718.25	Professional		$779.80	$787.30	$1,718.25