Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.34 / $791.34 / $854.65	Facility		$791.34	$791.34	$854.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.34 / $854.65 / $1,582.68	Professional		$791.34	$854.65	$1,582.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.22 / $1,076.22 / $1,076.22	Professional		$1,076.22	$1,076.22	$1,076.22
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,807.46 / $1,807.46 / $1,807.46	Facility		$1,807.46	$1,807.46	$1,807.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,530.70	Facility		$1,530.70	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $1,117.41	Professional		$1,117.41	$1,117.41	$1,117.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,803.51 / $9,406.52 / $11,239.74	Facility		$4,803.51	$9,406.52	$11,239.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,412.66 / $13,734.54 / $13,975.35	Professional		$13,412.66	$13,734.54	$13,975.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $571.58 / $1,293.61 / $1,807.46	Facility		$571.58	$1,293.61	$1,807.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $578.03 / $1,626.71 / $2,366.26	Professional		$578.03	$1,626.71	$2,366.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.58 / $1,293.61 / $1,807.46	Facility		$571.58	$1,293.61	$1,807.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $1,807.46	Professional		$1,117.41	$1,117.41	$1,807.46
United Facility/Professional Professional Modifier Low / Median / High Price $737.82 / $1,091.47 / $1,333.99	Professional		$737.82	$1,091.47	$1,333.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,073.88 / $1,084.21 / $1,807.46	Professional		$1,073.88	$1,084.21	$1,807.46