Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.94 / $698.94 / $754.85	Facility		$698.94	$698.94	$754.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.94 / $754.85 / $1,397.87	Professional		$698.94	$754.85	$1,397.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.55 / $950.55 / $950.55	Professional		$950.55	$950.55	$950.55
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,596.41 / $1,596.41 / $1,596.41	Facility		$1,596.41	$1,596.41	$1,596.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.22 / $1,111.22 / $1,111.22	Facility		$1,111.22	$1,111.22	$1,111.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $811.19	Professional		$811.19	$811.19	$811.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,667.81 / $7,396.37 / $7,396.37	Facility		$2,667.81	$7,396.37	$7,396.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,010.83 / $8,010.83 / $11,624.25	Professional		$8,010.83	$8,010.83	$11,624.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $1,198.52 / $1,596.41	Facility		$457.00	$1,198.52	$1,596.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $1,436.77 / $1,596.41	Professional		$462.16	$1,436.77	$1,596.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $1,111.22 / $1,596.41	Facility		$457.00	$1,111.22	$1,596.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $811.19 / $811.19 / $1,288.70	Professional		$811.19	$811.19	$1,288.70
United Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $872.66 / $1,066.68	Professional		$589.91	$872.66	$1,066.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $858.60 / $954.08 / $1,596.41	Professional		$858.60	$954.08	$1,596.41