Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.98 / $963.98 / $1,041.08	Facility		$963.98	$963.98	$1,041.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.98 / $1,041.08 / $1,927.95	Professional		$963.98	$1,041.08	$1,927.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.01 / $1,311.01 / $1,311.01	Professional		$1,311.01	$1,311.01	$1,311.01
Christus Facility/Professional Facility Modifier Low / Median / High Price $2,201.77 / $2,201.77 / $2,201.77	Facility		$2,201.77	$2,201.77	$2,201.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $892.45	Professional		$892.45	$892.45	$892.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,679.32 / $10,198.75 / $10,198.75	Facility		$3,679.32	$10,198.75	$10,198.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,026.37 / $11,026.37 / $16,032.45	Professional		$11,026.37	$11,026.37	$16,032.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.14 / $1,534.44 / $2,201.77	Facility		$630.14	$1,534.44	$2,201.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $637.25 / $1,871.50 / $2,201.77	Professional		$637.25	$1,871.50	$2,201.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.14 / $1,471.18 / $2,201.77	Facility		$630.14	$1,471.18	$2,201.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $1,777.43	Professional		$892.45	$892.45	$1,777.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,217.37 / $2,608.67	Facility		$2,217.37	$2,217.37	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $813.40 / $1,203.29 / $1,470.66	Professional		$813.40	$1,203.29	$1,470.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,183.89 / $1,315.88 / $2,201.77	Professional		$1,183.89	$1,315.88	$2,201.77