Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.10 / $627.10 / $677.26	Facility		$627.10	$627.10	$677.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.10 / $681.65 / $1,254.19	Professional		$627.10	$681.65	$1,254.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.85 / $852.85 / $852.85	Professional		$852.85	$852.85	$852.85
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,432.32 / $1,432.32 / $1,432.32	Facility		$1,432.32	$1,432.32	$1,432.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $895.00	Professional		$653.35	$653.35	$895.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,595.27 / $8,339.10 / $8,339.10	Facility		$7,595.27	$8,339.10	$8,339.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,690.21 / $8,690.21 / $11,821.35	Professional		$8,690.21	$8,690.21	$11,821.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.31 / $1,004.88 / $1,432.32	Facility		$461.31	$1,004.88	$1,432.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $466.52 / $1,317.73 / $1,755.60	Professional		$466.52	$1,317.73	$1,755.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.31 / $957.03 / $1,432.32	Facility		$461.31	$957.03	$1,432.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $653.35 / $921.85	Professional		$653.35	$653.35	$921.85
United Facility/Professional Professional Modifier Low / Median / High Price $595.48 / $880.90 / $1,076.64	Professional		$595.48	$880.90	$1,076.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $866.71 / $871.01 / $1,432.32	Professional		$866.71	$871.01	$1,432.32