Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.14 / $787.14 / $850.11	Facility		$787.14	$787.14	$850.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.70 / $850.11 / $1,574.28	Professional		$771.70	$850.11	$1,574.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.51 / $1,070.51 / $1,070.51	Professional		$1,070.51	$1,070.51	$1,070.51
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,797.87 / $1,797.87 / $1,797.87	Facility		$1,797.87	$1,797.87	$1,797.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,427.14	Professional		$1,041.81	$1,041.81	$1,427.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,478.50 / $8,775.70 / $10,479.26	Facility		$4,478.50	$8,775.70	$10,479.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,282.35 / $12,577.14 / $12,577.14	Professional		$12,282.35	$12,577.14	$12,577.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $1,286.77 / $1,797.87	Facility		$532.91	$1,286.77	$1,797.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.91 / $1,618.08 / $2,206.16	Professional		$538.91	$1,618.08	$2,206.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $1,286.77 / $1,797.87	Facility		$532.91	$1,286.77	$1,797.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,469.95	Professional		$1,041.81	$1,041.81	$1,469.95
United Facility/Professional Professional Modifier Low / Median / High Price $687.90 / $1,017.62 / $1,243.74	Professional		$687.90	$1,017.62	$1,243.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,001.23 / $1,006.20 / $1,797.87	Professional		$1,001.23	$1,006.20	$1,797.87