Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $724.44	Facility		$676.08	$676.08	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,258.93	Professional		$537.03	$691.83	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,584.89 / $1,584.89	Facility		$79.43	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $933.25	Professional		$676.08	$676.08	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $11,481.54	Professional		$7,585.78	$11,481.54	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $1,862.09	Facility		$575.44	$1,148.15	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,348.96	Professional		$537.03	$691.83	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $954.99	Professional		$933.25	$933.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $1,905.46	Facility		$602.56	$1,148.15	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $933.25	Professional		$676.08	$676.08	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $812.83 / $1,348.96	Facility		$436.52	$812.83	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $891.25	Professional		$478.63	$724.44	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89