Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.75 / $406.75 / $439.29	Facility		$406.75	$406.75	$439.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.75 / $439.29 / $813.50	Professional		$406.75	$439.29	$813.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.17 / $553.17 / $553.17	Professional		$553.17	$553.17	$553.17
Christus Facility/Professional Facility Modifier Low / Median / High Price $929.03 / $929.03 / $929.03	Facility		$929.03	$929.03	$929.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.50 / $695.50 / $695.50	Facility		$695.50	$695.50	$695.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $695.50	Professional		$507.72	$507.72	$695.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,434.30 / $4,759.79 / $4,759.79	Facility		$4,434.30	$4,759.79	$4,759.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,447.03 / $5,447.03 / $6,955.95	Professional		$5,447.03	$5,447.03	$6,955.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.81 / $647.45 / $929.03	Facility		$265.81	$647.45	$929.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.81 / $854.71 / $1,100.41	Professional		$268.81	$854.71	$1,100.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.81 / $664.93 / $929.03	Facility		$265.81	$664.93	$929.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $507.72 / $741.45	Professional		$507.72	$507.72	$741.45
United Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $507.58 / $620.76	Professional		$343.12	$507.58	$620.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.40 / $501.88 / $929.03	Professional		$499.40	$501.88	$929.03