Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.46 / $675.46 / $729.49	Facility		$675.46	$675.46	$729.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.41 / $718.12 / $1,350.91	Professional		$621.41	$718.12	$1,350.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.62 / $918.62 / $918.62	Professional		$918.62	$918.62	$918.62
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,542.77 / $1,542.77 / $1,542.77	Facility		$1,542.77	$1,542.77	$1,542.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $930.44	Facility		$930.44	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $930.44	Professional		$679.22	$679.22	$930.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,345.71 / $6,077.59 / $6,077.59	Facility		$2,345.71	$6,077.59	$6,077.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,636.71 / $7,636.71 / $11,520.08	Professional		$7,636.71	$7,636.71	$11,520.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.67 / $1,075.17 / $1,542.77	Facility		$372.67	$1,075.17	$1,542.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $376.87 / $1,304.66 / $1,542.77	Professional		$376.87	$1,304.66	$1,542.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.67 / $1,030.83 / $1,542.77	Facility		$372.67	$1,030.83	$1,542.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $991.89	Professional		$679.22	$679.22	$991.89
United Facility/Professional Professional Modifier Low / Median / High Price $481.05 / $711.63 / $889.53	Professional		$481.05	$711.63	$889.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $699.29 / $700.16 / $1,542.77	Professional		$699.29	$700.16	$1,542.77