Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.85 / $894.85 / $966.44	Facility		$894.85	$894.85	$966.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.85 / $972.71 / $1,789.70	Professional		$894.85	$972.71	$1,789.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.71 / $972.71 / $1,217.00	Professional		$972.71	$972.71	$1,217.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,043.89 / $2,043.89 / $2,043.89	Facility		$2,043.89	$2,043.89	$2,043.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $1,367.82	Professional		$998.51	$998.51	$1,367.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,087.79 / $10,228.89 / $10,228.89	Facility		$4,087.79	$10,228.89	$10,228.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,164.54 / $12,164.54 / $19,007.09	Professional		$12,164.54	$12,164.54	$19,007.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.29 / $1,424.39 / $2,043.89	Facility		$658.29	$1,424.39	$2,043.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $665.71 / $1,880.38 / $2,043.89	Professional		$665.71	$1,880.38	$2,043.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.29 / $1,367.82 / $2,043.89	Facility		$658.29	$1,367.82	$2,043.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $1,458.16	Professional		$998.51	$998.51	$1,458.16
United Facility/Professional Facility Modifier Low / Median / High Price $769.93 / $1,347.44 / $1,571.29	Facility		$769.93	$1,347.44	$1,571.29
United Facility/Professional Professional Modifier Low / Median / High Price $849.73 / $1,257.03 / $1,560.38	Professional		$849.73	$1,257.03	$1,560.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,236.77 / $1,242.91 / $2,043.89	Professional		$1,236.77	$1,242.91	$2,043.89