Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.99 / $959.99 / $1,036.78	Facility		$959.99	$959.99	$1,036.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $883.19 / $1,036.78 / $1,919.97	Professional		$883.19	$1,036.78	$1,919.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,305.58 / $1,305.58 / $1,305.58	Professional		$1,305.58	$1,305.58	$1,305.58
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,192.66 / $2,192.66 / $2,192.66	Facility		$2,192.66	$2,192.66	$2,192.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,408.48	Facility		$1,408.48	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,408.48	Professional		$1,028.19	$1,028.19	$1,408.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,491.67 / $9,898.48 / $11,657.40	Facility		$4,491.67	$9,898.48	$11,657.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,199.48 / $14,540.27 / $17,092.05	Professional		$14,199.48	$14,540.27	$17,092.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.83 / $1,528.07 / $2,192.66	Facility		$592.83	$1,528.07	$2,192.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $599.51 / $1,854.23 / $2,192.66	Professional		$599.51	$1,854.23	$2,192.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.83 / $1,465.07 / $2,192.66	Facility		$592.83	$1,465.07	$2,192.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,450.73	Professional		$1,028.19	$1,028.19	$1,450.73
United Facility/Professional Professional Modifier Low / Median / High Price $765.23 / $1,132.03 / $1,393.25	Professional		$765.23	$1,132.03	$1,393.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,113.80 / $1,124.51 / $2,192.66	Professional		$1,113.80	$1,124.51	$2,192.66