Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.67 / $510.67 / $551.52	Facility		$510.67	$510.67	$551.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.67 / $551.52 / $1,021.34	Professional		$510.67	$551.52	$1,021.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.51 / $694.51 / $694.51	Professional		$694.51	$694.51	$694.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,166.41 / $1,166.41 / $1,166.41	Facility		$1,166.41	$1,166.41	$1,166.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.21 / $812.21 / $812.21	Facility		$812.21	$812.21	$812.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $812.21	Professional		$592.91	$592.91	$812.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,598.40 / $6,156.07 / $7,299.94	Facility		$2,598.40	$6,156.07	$7,299.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,214.44 / $8,411.58 / $9,264.60	Professional		$8,214.44	$8,411.58	$9,264.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.23 / $834.83 / $1,166.41	Facility		$371.23	$834.83	$1,166.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $375.42 / $1,050.91 / $1,166.41	Professional		$375.42	$1,050.91	$1,166.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.23 / $812.21 / $1,166.41	Facility		$371.23	$812.21	$1,166.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $592.91 / $836.58	Professional		$592.91	$592.91	$836.58
United Facility/Professional Professional Modifier Low / Median / High Price $479.19 / $708.88 / $866.20	Professional		$479.19	$708.88	$866.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $697.46 / $704.17 / $1,166.41	Professional		$697.46	$704.17	$1,166.41